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. 2020 Feb;145(2):421e-432e.
doi: 10.1097/PRS.0000000000006510.

Recent Advances in Implant-Based Breast Reconstruction

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Recent Advances in Implant-Based Breast Reconstruction

Amy S Colwell et al. Plast Reconstr Surg. 2020 Feb.

Abstract

Learning objectives: After reading this article, the participant should be able to: 1. Understand the indications for implant-based breast reconstruction and the indications for nipple preservation compared to skin-sparing or skin-reducing patterns. 2. Understand the indications for direct-to-implant breast reconstruction versus tissue expander/implant breast reconstruction and the advantages and disadvantages of total, partial, or no muscle coverage. 3. Understand the role of acellular dermal matrix or mesh in reconstruction. 4. Learn the advantages and disadvantages of different types and styles of implants and develop a postoperative plan for care and pain management.

Summary: Breast reconstruction with implants has seen a decade of advances leading to more natural breast reconstructions and lower rates of complications.

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References

    1. Huo J, Smith BD, Giordano SH, Reece GP, Shih YT. Post-mastectomy breast reconstruction and its subsequent complications: A comparison between obese and non-obese women with breast cancer. Breast Cancer Res Treat. 2016;157:373–383.
    1. McCarthy CM, Mehrara BJ, Riedel E, et al. Predicting complications following expander/implant breast reconstruction: An outcomes analysis based on preoperative clinical risk. Plast Reconstr Surg. 2008;121:1886–1892.
    1. Richardson H, Ma G. The Goldilocks mastectomy. Int J Surg. 2012;10:522–526.
    1. Bennett KG, Qi J, Kim HM, Hamill JB, Pusic AL, Wilkins EG. Comparison of 2-year complication rates among common techniques for postmastectomy breast reconstruction. JAMA Surg. 2018;153:901–908.
    1. Reish RG, Lin A, Phillips NA, et al. Breast reconstruction outcomes after nipple-sparing mastectomy and radiation therapy. Plast Reconstr Surg. 2015;135:959–966.