Semin Plast Surg 2019; 33(04): 224-228
DOI: 10.1055/s-0039-1696964
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Latest Trends in Subpectoral Breast Reconstruction

Christine Oh
1  Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota
Sebastian J. Winocour
2  Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
Valerie Lemaine
3  Plastic Surgery Consultants, Edina, Minnesota
› Author Affiliations
Further Information

Publication History

Publication Date:
17 October 2019 (online)


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.


None of the authors have a financial interest in any of the products, devices, or drugs mentioned in this article.