{"doi":"10.1007/s00266-016-0683-0","title":"The Use of “Precapsular Space” in Secondary Breast Reconstruction","abstract":null,"journal":"Aesthetic Plastic Surgery","year":2016,"id":606921,"datarank":0.4566783656585135,"base_score":3.044522437723423,"endowment":3.044522437723423,"self_citation_contribution":0.4566783656585135,"citation_network_contribution":0.0,"self_endowment_contribution":0.4566783656585135,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":20,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":938261,"name":"Francesca De Lorenzi","orcid":"0000-0001-6050-898X","position":1,"is_corresponding":false},{"id":1558257,"name":"Francesco Dell’Antonia","orcid":null,"position":2,"is_corresponding":false},{"id":1558258,"name":"Fabrizio De Biasio","orcid":null,"position":3,"is_corresponding":false},{"id":199376,"name":"Michele Riccio","orcid":"0000-0001-5554-4759","position":4,"is_corresponding":false},{"id":199379,"name":"Pier Camillo Parodi","orcid":"0000-0002-4677-8198","position":5,"is_corresponding":false},{"id":199371,"name":"Nicola Zingaretti","orcid":"0000-0002-1575-0029","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"The Use of “Precapsular Space” in Secondary Breast Reconstruction","abstract":"<h4>Background</h4>Periprosthetic capsule formation is a physiological phenomenon occurring around breast implants. In case of capsular contracture, several surgical techniques are described; among them, total capsulectomy is considered the gold standard, but it is not free of complications. A more conservative procedure is the use of \"precapsular space\", leaving intact the preexisting capsule. The method presents minor complications and further advantages over total capsulectomy.<h4>Method</h4>From November 2010 to June 2014, we treated 92 postmastecttomy patients who previously underwent implant-based reconstruction. They presented implant malposition (bottoming-out, double bubble deformity, upward migration) and different degrees of capsular contracture. The implant was repositioned in a neoprecapsular pocket. Sixty-eight out of 92 patients presented a follow-up longer than 24 months, and they are included in the present study. They were evaluated with a questionnaire 1 month before surgery, at 6 months and 2 years postoperatively. Moreover, two independent plastic surgeons completed the same questionnaire at 6 months and 2 years after surgery.<h4>Results</h4>Mean follow-up is 29 months. Baker III-IV capsular contracture occurred in 9.5 % of the patients, implant malposition in 2.9 % of the cases and no implant displacement rotation was observed. Patient self-assessment preoperatively and postoperatively (at 2 years) revealed improved cosmetic outcomes (p < 0.01). Surgeon assessment correlated with patient self-assessment.<h4>Conclusion</h4>The use of precapsular space, first described for aesthetic augmentation, is a valid alternative to total capsulectomy for the treatment of capsular contracture or implant malposition, even in the reconstructive field.<h4>Level of evidence iv</h4>This journal requires that the authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .","is_dataset_classified":null,"base_score":3.044522437723423,"endowment":3.044522437723423,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"27443324","pmcid":null,"openalex_id":"https://openalex.org/W2479518699","authors":[],"funders":[],"total_grants":0,"fwci":2.6904,"citation_percentile":0.8969075,"influential_citations":0,"citation_trend":[{"year":2017,"count":1},{"year":2018,"count":4},{"year":2019,"count":4},{"year":2020,"count":2},{"year":2021,"count":3},{"year":2022,"count":2},{"year":2023,"count":3},{"year":2025,"count":1}],"oa_status":"closed","license":"http://www.springer.com/tdm","oa_locations":[{"url":"http://link.springer.com/content/pdf/10.1007/s00266-016-0683-0.pdf","host_type":"publisher"},{"url":"http://link.springer.com/article/10.1007/s00266-016-0683-0/fulltext.html","host_type":"publisher"},{"url":"https://doi.org/10.1007/s00266-016-0683-0","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/27443324","host_type":"repository"},{"url":"http://link.springer.com/article/10.1007/s00266-016-0683-0","host_type":"repository"}],"fields_of_study":["Breast Implant and Reconstruction","Reconstructive Surgery and Microvascular Techniques","Lymphatic System and Diseases"],"mesh_terms":["Adult","Aged","Breast Neoplasms","Esthetics","Female","Follow-Up Studies","Humans","Mastectomy","Middle Aged","Postoperative Complications","Prosthesis Failure","Reoperation","Retrospective Studies","Wound Healing","Cohort Studies","Mammaplasty","Treatment Outcome","Breast Implants","Risk Assessment","Breast Implantation","Device Removal","Implant Capsular Contracture"],"keywords":["Medicine","Plastic surgery","Otorhinolaryngology","Breast reconstruction","General surgery","Breast cancer","Surgery","Internal medicine","Cancer","Dislocation","Capsular Contracture","Implant Malposition","Secondary Breast Reconstruction"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-07-30T05:25:34.627278Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}