Loai Abdullah Alsalmi is associated with King Fahad Medical City, Saudi Arabia. He completed his Hand and Microsurgery Fellowship from The University of Texas Southwestern Medical School and University of Pennsylvania. He has completed his Experimental Surgery Fellowship from Mc Gill University. He has completed his bachelor of medicine and surgery from King Saud University.

Background: Alloplastic, breast reconstruction is a most common method of breast reconstruction. Multiple techniques have been utilized to decrease complications and improve overall aesthetic outcome and patient satisfaction. These traditional techniques are shown advantageous, however, associated with some significant disadvantages. We are presenting a novel two stage technique, pre-mastectomy permanent implant reconstruction (PPIR), which shows better aesthetic outcome with high patient satisfaction in breast cancer patients not requiring adjuvant radiotherapy.

Methods: Four patients randomly recruited underwent the pre-mastectomy permanent implant reconstruction (PPIR), by insertion of silicone implant 3 weeks before proposed mastectomy Patient satisfaction was assessed using the Michigan Breast Reconstruction Outcomes Survey. All patients followed up for a period of more than six months for assessments.

Results: Among Four patients with stage I, II breast cancer, three patients were diagnosed with invasive ductal carcinoma and one patient was having sclerosing adenosis. All four patients had no mastectomy flap complication, implant related complications, and showed excellent aesthetic out come and high patient satisfaction.

Conclusion: Pre-mastectomy permanent implant reconstruction (PPIR) is a promising potential technique with a good aesthetic outcome, patient satisfaction which carries no tissue expander complications and eliminates multiple clinic visits.