Outcome of skin sparing mastectomy with dermal sling for covering prepectoral implant in ptosed breast

Background: Breast reconstruction after mastectomy significantly improves the quality of life for patients with breast cancer.Objectives: To assess the oncological safety, early problems, radiation impact, and patient satisfaction with skin-sparing mastectomy using a dermal sling for prepectoral implant implantation.Methods: A prospective study was conducted at Menoufia University Hospital from February 2023 to January 2025, involving 40 patients diagnosed with invasive breast cancer. Patients were evaluated for tumor characteristics, preoperative health, and surgical outcomes. Skin-sparing mastectomy was performed with a dermal sling for prepectoral implant placement. Early and late postoperative complications, as well as cosmetic outcomes, were recorded.Results: The patients' average BMI was 30.97 kg/m2, and their average age was 46.35 years. Invasive ductal carcinoma (IDC) was present in the majority of cases (80%). Seroma (12.5%), erythema (5%), delayed healing (10%), and partial skin necrosis (20%) were among the early sequelae. Reoperation (10%) and capsular contracture (20%) were examples of late complications. The average length of stay in the hospital was 1.85 days, while the average drain time was 10.45 days. With a mean satisfaction score of 35.55 (95% satisfaction rate), a high level of satisfaction was observed.Conclusion: Although it is linked to certain early and late problems, skin-sparing mastectomy with a dermal sling for prepectoral implant insertion is an efficient and well-tolerated method that shows positive cosmetic results and high patient satisfaction.