Recent Advances in Implant-Based Breast Reconstruction.

LEARNING OBJECTIVES

After reading this article, the participant should be able to: 1. Understand the indications for implant-based breast reconstruction and the indications for nipple preservation compared to skin-sparing or skin-reducing patterns. 2. Understand the indications for direct-to-implant breast reconstruction versus tissue expander/implant breast reconstruction and the advantages and disadvantages of total, partial, or no muscle coverage. 3. Understand the role of acellular dermal matrix or mesh in reconstruction. 4. Learn the advantages and disadvantages of different types and styles of implants and develop a postoperative plan for care and pain management.

SUMMARY

Breast reconstruction with implants has seen a decade of advances leading to more natural breast reconstructions and lower rates of complications.