Breast reconstruction: Review of current autologous and implant-based techniques and long-term oncologic outcome

Abstract

Implant-based reconstruction is the most common method of breast reconstruction. Autologous breast reconstruction is an indispensable option for breast reconstruction demanding keen microsurgical skills and robust anatomical understanding. The reconstructive choice is made by the patient after a discussion with the plastic surgeon covering all the available options. Advantages and disadvantages of each technique along with long-term oncologic outcome are reviewed.

Triplane technique for breast reconstruction after breast cancer surgery: A case series report

“…[ 6 ] Implant-based breast reconstruction has advantages such as shorter operative time, faster patient recovery and elimination of donor site morbidity compared to autologous breast reconstruction. [ 7 ] The planes for implant placement in post-mastectomy breast reconstruction include the pre-pectoral plane (between the skin flap and the pectoralis major muscle) and the sub-pectoral plane (between the pectoralis major muscle and the chest wall). [ 8 ] The choice of implant placement plane results in different outcomes and complications.…”

“…However, with the improvement of surgical techniques and the use of acellular dermal matrix, these complications have significantly decreased, leading to the resurgence of pre-pectoral implant. [ 7 , 10 ] Tebbetts proposed the concept of dual-plane breast augmentation in 2001, [ 11 ] which solved the problem of implant displacement and morphological changes caused by pectoral muscle contraction. However, for patients undergoing radical surgery for breast cancer, due to the complete removal of glandular tissue, there is insufficient soft tissue coverage in the lower outer pole of the implant, which is also one of the clinical challenges for breast reconstruction in breast cancer patients.…”