“…We appreciate the reader's input and thoughtful commentary on our recent article on the deformational forces of 3 commercially available tissue expanders (TEs). 1 , 2 The author raises a valid point that advancements in reconstructive plane utilized, namely prepectoral, alter the intracorporal forces on a TE. This is an excellent observation of changes in practice and procedural technique which has influenced the impact of the pectoralis major muscle on the breast soft-tissue pocket.…”