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Review
. 2019 Nov;33(4):264-269.
doi: 10.1055/s-0039-1697028. Epub 2019 Oct 17.

Update in Direct-to-Implant Breast Reconstruction

Aurelia Trisliana Perdanasari  1 , Amjed Abu-Ghname  1 , Sarth Raj  1 , Sebastian J Winocour  1 , Rene D Largo  2
Affiliations
Review

Update in Direct-to-Implant Breast Reconstruction

Aurelia Trisliana Perdanasari et al. Semin Plast Surg. 2019 Nov.

Abstract

Implant-based reconstruction (IBR) remains the most commonly utilized breast reconstruction option for post-mastectomy patients. IBR can be approached as either a one-stage reconstruction or a two-stage reconstruction. Facilitated by improvements in surgical technology and advanced techniques, one-stage reconstruction, also known as direct-to-implant (DTI) reconstruction, involves the insertion of an implant at the time of mastectomy. The decision to pursue either a DTI or a two-stage reconstruction is based on several factors, including the patient's overall health, expected risk of postoperative complications, and associated costs to both the patient and hospital.

Keywords: direct-to-implant; implant-based breast reconstruction; mastectomy; single-stage.

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Conflict of interest statement

Conflicts of Interest None declared.

Figures

Fig. 1
Fig. 1
( A–C ) Healthy, nonsmoking patients with small- to moderate-sized, minimally ptotic breasts who desire to be of similar breast size following reconstruction are the ideal candidates for DTI.
Fig. 2
Fig. 2
( A–C ) Bilateral direct-to-implant breast reconstruction following right therapeutic skin sparing mastectomy and contralateral matching procedure.
See this image and copyright information in PMC

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