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Updated: Jul 23, 2025
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
A review of different breast reconstruction methods
Yuhang Song1, Jiahui Zeng1, Xingchen Tian1
1Department of Breast Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Provincial Clinical Research Center for Breast Cancer, Wuhan Clinical Research Center for Breast Cancer No. 116 Zhuo Daoquan South Road, Wuhan 430079, Hubei, China.
Breast reconstruction offers implant-based (IBBR) and autologous (ABR) options. IBBR is often preferred for less scarring, but ABR provides alternatives for specific patient needs and cosmetic results.
Area of Science:
- Oncology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Breast reconstruction is integral to comprehensive breast cancer treatment.
- Surgical timing and methods are critical for successful outcomes.
- Implant-based breast reconstruction (IBBR) is increasingly common, partly due to acellular dermal matrix (ADM) advancements.
Purpose of the Study:
- To compare implant-based breast reconstruction (IBBR) and autologous breast reconstruction (ABR).
- To analyze indications, complications, advantages, disadvantages, and prognosis of IBBR versus ABR.
- To evaluate different flaps in ABR, including latissimus dorsi (LD) and deep inferior epigastric perforator (DIEP) flaps.
Main Methods:
- Comparative analysis of IBBR and ABR techniques.
- Review of surgical methods, including implant placement (prepectoral vs. subpectoral) and ADM use.
- Assessment of flap-specific indications and complications in ABR.
Main Results:
- IBBR is often the primary method due to less scarring and shorter duration.
- LD flap is suitable for lean patients (low BMI), while DIEP flap is useful for severe breast ptosis.
- Controversies remain regarding implant position and ADM use in IBBR.
Conclusions:
- Immediate breast reconstruction with implants is generally preferred, but ABR offers viable alternatives for specific patient profiles.
- Surgical planning must be individualized based on patient preferences and conditions.
- Future research should focus on refining techniques, emphasizing minimally invasive and personalized approaches in breast reconstruction.
