Specific Implant-Based Techniques for Breast Reconstruction

Abstract

Breast reconstruction is increasingly important for the management of women with breast cancer enabling maintenance or restoration of cosmesis. Implant-based techniques are widely used and form the majority of reconstructions. Implant-based reconstructions offer patients the option of less invasive surgery without the need for an additional donor site, a shorter procedure, a shorter hospital stay and faster recovery period. Whilst autologous reconstruction has traditionally been associated with superior aesthetic outcomes, advances in surgical techniques and implant design have challenged this attitude, and excellent outcomes have been reported with implant-based procedures. The reconstructive technique may be either «one stage» (direct to implant) or «two stage» (tissue expander/implant). Alternatively, anatomical expandable implants can also be used to expand the tissue but with the aim of leaving the saline-filled expander as a permanent implant if the cosmetic outcome is satisfactory.