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Review
. 2019 Nov;33(4):224-228.
doi: 10.1055/s-0039-1696964. Epub 2019 Oct 17.

Latest Trends in Subpectoral Breast Reconstruction

Christine Oh  1 , Sebastian J Winocour  2 , Valerie Lemaine  3
Affiliations
Review

Latest Trends in Subpectoral Breast Reconstruction

Christine Oh et al. Semin Plast Surg. 2019 Nov.

Abstract

There has been a shift in recent years toward a growing popularity of implant-based breast reconstruction, especially in the setting of increased frequency of concurrent contralateral prophylactic mastectomy. Advancements in implant safety and technology have also allowed for an expanding implant reconstruction practice across the country. The traditional approach is immediate two-stage implant reconstruction with placement of a tissue expander within a subpectoral pocket. The introduction of acellular dermal matrix has revolutionized implant-based breast reconstruction, allowing surgeons the opportunity to minimize morbidity while maximizing aesthetic outcomes. There have also been advances in the management of postoperative pain control as well as secondary revision surgery.

Keywords: breast cancer; breast reconstruction; mastectomy; subpectoral.

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Conflict of interest statement

Conflicts of Interest None declared.

Figures

Fig. 1
Fig. 1
( A ) Preoperative photograph. ( B ) Ex vivo ADM wrapped fully expanded inflated tissue expander. ( C ) Postoperative photograph status post bilateral nipple sparing mastectomy (inframammary incision) and subpectoral ADM implant reconstruction. (Reproduced with permission from Oh C, Winocour S, Lemaine V. Acellular dermal matrix in submuscular implant-based breast reconstruction: a novel technique to improve symmetry. Plast Reconstr Surg 2017;140(04):641e–643e. 15 )
See this image and copyright information in PMC

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