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Systematic review suggests low implant loss rates and ischemic complications in obese patients undergoing prepectoral reconstruction.
Wise-pattern prepectoral reconstruction with a dermal flap demonstrates low rates of implant loss and infection. Ischemic complications were the most frequent adverse events reported. This approach may safely expand reconstructive options for obese or ptotic patients, though higher-quality prospective data are needed.
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Sorenson et al. (2026) studied this question.
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