by Frey, Jordan D.;
Salibian, Ara A.; Karp, Nolan S.; Choi, Mihye
Learning Objectives: After studying this article, the participant
should be able to: 1. Evaluate appropriate patients best suited for one- or
two-stage alloplastic breast reconstruction. 2. Discuss and apply the unique
advantages and disadvantages of scaffold use and different implant types in
breast reconstruction to maximize outcomes. 3. Develop a plan for patients
undergoing implant-based breast reconstruction requiring postmastectomy
radiation therapy. 4. Analyze the evidence with regard to antibiotic prophylaxis
in implant-based breast reconstruction. 5. Recognize and critique novel
technical and device developments in the field of alloplastic breast
reconstruction, enabling appropriate patient selection. Summary: Implant-based,
or alloplastic, breast reconstruction is the most common method of breast
reconstruction in the United States. Within implant-based reconstruction, many
techniques and reconstructive strategies exist that must be tailored for each
individual patient to yield a successful reconstruction. Not unexpectedly, many
hot topics and controversies in this field have emerged, including stages of
reconstruction, use of scaffolds, permanent implant type, strategies for
postmastectomy radiation therapy, and antibiotic prophylaxis. In addition, there
has been an evolution in technical and device development in recent years.
Therefore, plastic surgeons must be on the forefront of knowledge to approach
implant-based breast reconstruction in an evidence-based fashion to best treat
their patients.
