Abstract: Background and purpose: The inadequate cover of implant-based breast reconstruction leads to the delayed-immediate reconstruction. With the development of material technology, the titanium-coated polypropylene mesh (TCPM, TiLOOP®Bra) has been considered a sufficient cover for immediate breast reconstruction (IBR). A postoperative follow-up was undertaken of the patients undergoing IBR with TCPM. Postoperative results and the satisfaction of the patients were considered. Methods: IBR with TCPM was performed for the patients with operative indications. Patients were dressed professionally after operation. The follow-up period was 3 to 15 months, and the average was 9 months with recording the breast softness, breast forms and symmetry. The subjective and objective evaluation of surgical outcomes were carried out, and patient satisfaction was surveyed at the final follow-up. Results: No postoperative complication was observed. The objective evaluation showed that 5 patients were excellent and 15 patients were good. In subjective assessment, all patients were satisfied in breast softness and forms. Conclusion: TCPM for IBR is a simple surgical procedure with less trauma, rapid recovery and high satisfaction. The postoperative breast is soft with natural form.

Key words: Immediate breast reconstruction, Implant-based breast reconstruction, Titanium-coated polypropylene mesh