Figure 2.

Bilateral prepectoral DTI breast reconstruction. Implant placement in the prepectoral space confers superior aesthetic result without significant prosthesis deformity or implant elevation, as evidenced by favorable nipple position relative to the inframammary fold and apparent breast symmetry. The top two patients did not exhibit signs of capsular contracture, but the bottom patient who had a tighter skin envelope on the right breast without nipple sparing, did show signs of capsular contracture. Importantly, skin dimpling or creasing is usually not observed in contracted prepectoral breast reconstruction, which suggests significant contribution by the pectoralis major muscle to breast mound deformity.