Using a titanium-coated polypropylene mesh (TiLOOP^® Bra) for implant-based breast reconstruction: case report and histological analysis

Excerpt

In breast reconstruction (BR), autologous tissue is preferably used in patients who are not eligible for breast conserving therapy (BCT). With the improvement of surgical techniques and enhanced implant technology implant-based BR experiences new importance [1]. The invention of new materials like acellular dermal matrix (ADM) and the new titanium-coated polypropylene mesh (TCPM; TiLOOP^® Bra, pfm medical, Cologne, Germany) gives breast surgeons and patients new perspectives [2]. Disadvantages and difficulties of a subpectoral placement of the implant can be resolved through the use of supporting and covering materials like ADM or TCPM. These meshes provide additional cover to the skin in the lower lateral part of the breast where usually not enough muscle is available to completely cover the implant. Especially with the proven safety of skin- and nipple-sparing mastectomy (SSM/NSM) and the introduction of mammography screening, immediate implant-based BR is emerging [3]. Additionally, the surgical extent and patients impairment by prosthesis reconstruction is much lower than that by autologous tissue. The use of ADM for immediate implant-based BR has been described before [4‐9]. In this case, we present a patient undergoing implant-based BR using a TCPM. …