Heterologous Breast Reconstruction Using a Titanium-Coated Polypropylene Mesh (TiLOOP® Bra)

In recent years a shift from autologeous breast reconstruction towards implant based breast reconstruction has been observed (IBBR) in the majority of breast cancer patients undergoing mastectomy. This is due to a higher acceptance and improvement of silicone implants, shorter surgical time, no donor side morbidity and excellent cosmetic results. The introduction of biological matrixes and recently synthetic meshes to support the lower pole of the breast and improve the reconstructive procedure using implants contributed to its further increase. Are biological matrixes being used for a long time, synthetic meshes are just being introduced into heterologous breast reconstruction. Compared to biological matrixes these meshes are much cheaper and first clinical findings show promising results in the correct selected patient. This chapter will introduce a light-weight titanium-coated polypropylene mesh (TiLOOP® Bra) for IBBR. Clinical indications, patient selection, surgical steps and risk factors will be discussed.