European Journal of Plastic Surgery

, Volume 42, Issue 2, pp 145–154 | Cite as

Prepectoral breast reconstruction using the Braxon® porcine acellular dermal matrix: a retrospective study

  • Marco GardaniEmail author
  • Francesco Simonacci
  • Giuseppina De Sario
  • Francesca Cattadori
  • Edoardo Raposio
  • Dante Palli
Original Paper



Breast cancer is the leading cause of death attributable to cancer among women worldwide. Breast reconstruction has become an integrated part of breast cancer treatment due to long-term psychosexual health factors and its importance to breast cancer survivors. Muscle-sparing techniques using an acellular dermal matrix (ADM) (Braxon; DECO med s.r.l., Venice, Italy) can be considered a possible alternative to immediate reconstruction or two-step reconstruction for patients with medium breasts who want to preserve their natural breast shape.


We performed a retrospective analysis of reconstructions using a Braxon porcine-derived ADM at the Breast Unit of the University Hospital of Parma and the Breast Unit of Piacenza Hospital from January 2015 to September 2017. The objective was to evaluate the benefits and complications resulting from this technique.


We treated 42 patients and performed a total of 51 muscle-sparing reconstructions using the Braxon porcine-derived ADM. The incidence of cutaneous necrosis was 4% (n = 2); the incidence of seroma was 4% (n = 2). We had to remove the implants in two cases. Natural and symmetrical breasts with good form, ptosis, and softness were achieved for most patients.


Good results were obtained with a high degree of esthetic and functional satisfaction for the majority of patients. A low rate of early complications compared to that reported in the international literature data was observed.

Level of Evidence: Level IV, therapeutic study


Breast reconstruction ADM Muscle-sparing reconstruction Breast cancer 


Compliance with ethical standards

Conflict of interest

Marco Gardani, Francesco Simonacci, Giuseppina De Sario, Francesca Cattadori, Edoardo Raposio, and Dante Palli declare that they have no conflict of interest.

Ethical approval

For this kind of retrospective study formal consent from a local ethics committee is not required.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Sources of funding



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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Breast Unit, Department of General SurgeryGuglielmo da Saliceto HospitalPiacenzaItaly
  2. 2.Plastic Surgery Division, Department of Medicine and SurgeryUniversity of ParmaParmaItaly
  3. 3.The Cutaneous, Mininvasive, Regenerative, and Plastic Surgery UnitParma University HospitalParmaItaly

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