Anterior Intercostal Artery Perforator Flap for Delayed Implant Exposure Salvage After Prepectoral Breast Reconstruction

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ID: 318078
2026
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Abstract
Abstract The anterior intercostal artery perforator (AICAP) flap has emerged as a viable option in breast reconstructive surgery for salvaging implants compromised by infection or radiotherapy. However, its application in delayed implant exposure following prepectoral reconstruction remains limited in the literature. We report the case of a 54-year-old woman who presented with localized infection and implant exposure following nipple-sparing mastectomy and prepectoral breast reconstruction with a silicone implant. Oncologic recurrence was excluded. Conventional conservative therapy failed, and the defect was successfully managed with an AICAP flap for implant salvage. This case highlights the feasibility of this technique as a less invasive alternative to avoid implant removal and secondary reconstruction, particularly in selected patients without extensive soft tissue compromise.
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Authors Rossella Gioco, Francesco Caruso, Gaetano Castiglione, Mariagloria Marino, Ada Cinquerrui, I. Cannata, Debora Simona Fichera, Nicola Francesca Musmeci, Konstantina Balafa, Marco Latino, Angelo Rosa, Giuseppe Catanuto, Dario Virzì
Journal Aesthetic Surgery Journal Open Forum
Year 2026
DOI
10.1093/asjof/ojag113
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