Background

The impact of obesity on outcomes of prepectoral vs subpectoral implant based reconstruction (IBR) is not well-established.

Objectives

The goal of this study is to assess the surgical and patient-reported outcomes of prepectoral vs subpectoral IBR. The authors hypothesized that obese patients would have similar outcomes regardless of device plane.

Methods

We conducted a retrospective review of obese patients who underwent 2-stage IBR from January 2017 to December 2019. Primary endpoint was the occurrence of any breast-related complication; secondary endpoint was device explantation.

Conclusions

Prepectoral reconstruction was associated with significantly decreased overall complications, infections, and device explantation in obese patients compared to subpectoral reconstruction. Prepectoral reconstruction provides superior outcomes to subpectoral reconstruction with comparable patient-reported outcomes.

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