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Updated: Jun 12, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Surgical outcomes of breast reconstruction: comparison of autogenous tissue and expander/implant techniques
Amy K Alderman1, Emily Hu, Dunya Atisha
1Assistant Professor of Surgery, Plastic and Reconstructive Surgery, University of Michigan, 2130 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0340, USA; Assistant Professor of Surgery, VA Center for Practice Management and Outcomes Research, Ann Arbor, MI 48105, USA. aalder@umich.edu.
Abstract:
Breast reconstruction following mastectomy is an important aspect of cancer care. Surgical outcomes data help patients navigate the complex decision-making process of choosing an implant or an autogenous tissue reconstructive technique. In general, complications rates are similar across procedure types. However, both pedicle and free transverse rectus abdominis musculocutaneous (TRAM) procedures are associated with an 11-18% decrease in flexion peak torque. However, no significant difference in flexion peak torque has been found between patients with pedicle and free TRAM reconstructions. In addition, patients with TRAM compared with expander/implant procedures appear to be more aesthetically satisfied and have greater gains in body image. In summary, with a variety of reconstructive procedures available, choosing the 'right' operation can be a daunting task. Outcomes data can provide patients with objective, reliable information to assist in surgical decision making.