000			03012nam a22004097a 4500
008			232233s20232023 xxu||||| |||| 00| 0 eng d
022			_a2227-684X
024			_a10.21037/gs-23-78 [doi]
024			_ags-12-08-1082 [pii]
024			_aPMC10493631 [pmc]
040			_aOvid MEDLINE(R)
099			_a37701292
245			_aLiterature review and guide for optimal position in implant-based breast reconstruction. [Review]
251			_aGland Surgery. 12(8):1082-1093, 2023 Aug 30.
252			_aGland surg.. 12(8):1082-1093, 2023 Aug 30.
253			_aGland surgery
260			_c2023
260			_fFY2024
260			_p2023 Aug 30
265			_sppublish
265			_tPUBMED-not-MEDLINE
266			_d2023-11-22
520			_aBackground and Objective: Identification of ideal candidates for prepectoral versus retropectoral implant-based breast reconstruction relies on careful preoperative risk assessment and intraoperative flap evaluation. Few guidelines exist to guide the surgeon's decision-making process when evaluating the preferred plane for implant placement.
520			_aConclusions: Careful preoperative and intraoperative assessment of reconstruction options for patients undergoing implant-based breast reconstruction is necessary to mitigate complications and produce superior aesthetic outcomes. Decision algorithms may be used to determine ideal surgical techniques based on patient factors, like radiation history and planning, breast size and ptosis, and patient preferences. Copyright 2023 Gland Surgery. All rights reserved.
520			_aKey Content and Findings: Prepectoral reconstruction is most suitable for patients with small breasts or macromastia with desire for breast reduction, low-grade ptosis, smaller implant sizes, those undergoing PMRT, and for those who aim to mitigate animation deformity and capsular contracture. Retropectoral reconstruction may be recommended for patients with larger breasts with no desire for size change requiring additional prosthesis support, and in patients who aim to reduce likelihood of rippling and need for subsequent fat grafting procedures to address contour abnormalities.
520			_aMethods: A literature review was performed to develop clinical decision-making algorithms for direct-to-implant (DTI) reconstruction with acellular dermal matrix (ADM) for patients undergoing prophylactic or therapeutic nipple-sparing mastectomy (NSM) based on patient characteristics, surgical techniques, and outcomes.
546			_aEnglish
650			_zAutomated
656			_aMedStar General Surgery Residency K
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
657			_aJournal Article
657			_aReview
700			_aMasanam, Monika _bMGUH _cMedStar General Surgery Residency _dMD
790			_aKing CA, Masanam MK, Tousimis EA, Salzberg CA
856			_uhttps://dx.doi.org/10.21037/gs-23-78 _zhttps://dx.doi.org/10.21037/gs-23-78
942			_cART _bArticle
999			_c13589 _d13589