Abstract
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.
Keywords
breast reconstruction - subpectoral - mastectomy - breast cancer
