Safe and Efficient Implant-Based Breast Reconstruction

Albert H. Chao, MD

Disclosures

Plast Reconstr Surg Glob Open. 2020;8(9):e3134 

In This Article

Abstract and Introduction

Abstract

Implant-based breast reconstruction is a safe and effective option associated with high patient satisfaction. Techniques have evolved significantly over the past several decades, characterized mostly by a reduction in the number of stages and time required to complete reconstruction, with maximal preservation of native breast elements. Nevertheless, both old and new techniques of implant-based breast reconstruction have a role depending on the specific clinical scenario, and thus plastic surgeons should be well versed in the full spectrum of options. This article reviews the key considerations underlying decision-making in implant-based breast reconstruction and the most effective techniques, with a focus on optimizing safety and efficiency.

Introduction

Implant-based breast reconstruction remains a safe, effective, and popular option for postmastectomy patients. Compared with autologous breast reconstruction, implant-based techniques entail more expedient surgery and recovery without the need for a donor site. Alloplastic breast reconstruction is associated with high degrees of patient satisfaction and health-related quality of life.[1] In the United States, there has been a trend toward greater use of implants for breast reconstruction.[2]

The techniques of implant-based breast reconstruction have advanced significantly over the past several decades. This evolution has been mostly characterized by a reduction in the number of stages and time required to complete reconstruction, with maximal preservation of native breast elements. To this end, technological innovations have been instrumental, particularly the use of acellular dermal matrix (ADM). Nevertheless, both old and new techniques of implant-based breast reconstruction have a role depending on the specific clinical scenario, and thus plastic surgeons should be well versed in the full spectrum of options.

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