Prepectoral Breast Reconstruction: A Fad or Here to Stay?

Prepectoral breast reconstruction has rapidly gained attention as a new technique for implant-based breast reconstruction. It is essentially a modernization of an old technique made possible by the use of marketable products, primarily dermal matrices and cohesive silicone gel implants. The rapid dissemination of its benefits, not only to physicians, but also to the general public and referring physicians, leading to widespread adoption, is in part due to a combination of marketing and social media/Internet influences. This review will summarize the recent peer-reviewed literature to provide facts for the reconstructive surgeon to decide whether this technique is a fad or a useful option in implant-based breast reconstruction.