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Types of Reconstruction

This section outlines the many options available and information about reconstructing breasts following mastectomy.

Advanced Reading

Breast Reconstruction Post Mastectomy: Patient Satisfaction and Decision Making
Ng SK1, Hare RM, Kuang RJ, Smith KM, Brown BJ, Hunter-Smith DJ. Ann Plast Surg. 2014 Jul 4. [Epub ahead of print].

Study confirms the positive effects of breast reconstruction post mastectomy and identifies reasons that influence patients' decisions of whether to undergo reconstruction.

Predictors of Mastectomy Flap Necrosis in Patients Undergoing Immediate Breast Reconstruction: A Review of 718 Patients
Abedi N1, Ho AL, Knox A, Tashakkor Y, Omeis T, Van Laeken N, Lennox P, Macadam SA. Ann Plast Surg. 2014 Jul 4. [Epub ahead of print].

Retrospective study identified factors that are most likely to lead to flap necrosis including BMI greater than 30, smoking status, and preoperative radiation.

Tissue Expander Complications Predict Permanent Implant Complications and Failure of Breast Reconstruction
Ann Plast Surg. 2014 Jul 4. Adkinson JM, Miller NF, Eid SM, Miles MG, Murphy RX Jr.

Study looked at factors associated with expander placement complications and the relationship between expander complications and permanent implant complications.

Breast Implant-Associated Anaplastic Large Cell Lymphoma: Report of 2 Cases and Review of the Literature
Aesthet Surg J. 2014 Jun 17. Hart AM, Lechowicz MJ, Peters KK, Holden J, Carlson GW.

This study represents the largest review of patients with Implant-Associated Anaplastic Large Cell Lymphoma described to date.

Propensity-Matched, Longitudinal Outcomes Analysis of Complications and Cost: Comparing Abdominal Free Flaps and Implant-Based Breast Reconstruction
J Am Coll Surg. 2014 Apr 8. Fischer JP, Wes AM, Nelson JA, Basta M, Rohrbach JI, Wu LC, Serletti JM, Kovach SJ.

Retrospective study which shows a higher overall success rate and significantly lower rate of surgical revisions and cost using free flap reconstruction compared with implants.

Direct-to-implant single-stage immediate breast reconstruction with acellular dermal matrix: predictors of failure
Direct-to-implant breast reconstruction can be reliably performed in a single stage in patients with small breast size and particularly those who are undergoing prophylactic surgery. Increasing breast cup size increases the chance of early revision. A two-stage approach may be more cost-effective in larger breasted patients.

Direct-to-implant single-stage immediate breast reconstruction with acellular dermal matrix: predictors of failure
Plast Reconstr Surg. 2014 Jun;133(6). Gdalevitch P1, Ho A, Genoway K, Alvrtsyan H, Bovill E, Lennox P, Van Laeken N, Macadam S.

Direct-to-implant breast reconstruction can be reliably performed in a single stage in patients with small breast size and particularly those who are undergoing prophylactic surgery. Increasing breast cup size increases the chance of early revision. A two-stage approach may be more cost-effective in larger breasted patients.

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