Abstract
Prepectoral breast reconstruction was first done in the early 1960s; however, while
initial results were promising, high complication rates led surgeons to move toward
submuscular implant placement. We soon came to find that submuscular implant placement
was not without its own set of drawbacks. Surgeons have since revisited the efficacy
of prepectoral breast reconstruction in light of new surgical and technological advances.
Following these advancements, complication profiles for prepectoral breast reconstruction
have drastically improved. Despite this change, surgeons recognize that prepectoral
implant placement is not for everyone and patient selection is critical to success.
As increasing numbers of these procedures continue to be done, we must now look to
conduct direct comparisons between submuscular and prepectoral breast implant placement
so that surgeons can make evidence-based decisions on patient selection and operative
planning.
Keywords
prepectoral - subcutaneous approach - breast reconstruction
