1516 / 1816
Wise Pattern Problems
•
Full thickness skin flap necrosis
of T junction and vertical limb
12% of 75 breasts
•
Partial thickness in 14%
•
Implant loss in 4.7%
•
All had dermal sling, so implant
covered but major risk if using
wise pattern with ADM
•
(Santanelli, 2013)
•
Risk factors (multivariate
analysis):
•
Smoking: OR 16
•
Prosthesis weight over 470 gm OR 7
•
Obesity (BMI) trend towards
significance