Literature review and guide for optimal position in implant-based breast reconstruction.

ABSTRACT:

Background and objective

Identification of ideal candidates for prepectoral versus retropectoral implant-based breast reconstruction relies on careful preoperative risk assessment and intraoperative flap evaluation. Few guidelines exist to guide the surgeon's decision-making process when evaluating the preferred plane for implant placement.

Methods

A literature review was performed to develop clinical decision-making algorithms for direct-to-implant (DTI) reconstruction with acellular dermal matrix (ADM) for patients undergoing prophylactic or therapeutic nipple-sparing mastectomy (NSM) based on patient characteristics, surgical techniques, and outcomes.

Key content and findings

Prepectoral reconstruction is most suitable for patients with small breasts or macromastia

SUBMITTER: King CA 

PROVIDER: S-EPMC10493631 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature