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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
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Hot Topics in Implant-Based Breast Reconstruction.

Thomas J Sorenson1, Carter J Boyd1, Nolan S Karp1

  • 1Hansjorg Wyss Department of Plastic Surgery, NYU-Langone Health, New York, NY 10016, USA.

Journal of Clinical Medicine
|January 10, 2026
PubMed
Summary
This summary is machine-generated.

Implant-based breast reconstruction (IBBR) advances focus on prepectoral techniques and nipple-sparing mastectomy for better aesthetics and reduced pain. Ongoing research addresses safety concerns and innovative implant technologies for improved patient outcomes.

Keywords:
BIIacellular dermal matrixbreast implantbreast implant-associated anaplastic large cell lymphomabreast reconstructionmeshneurotizationnipple-sparing mastectomyprepectoral

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Area of Science:

  • Plastic Surgery
  • Oncology
  • Biomaterials Science

Background:

  • Implant-based breast reconstruction (IBBR) is a prevalent post-mastectomy procedure globally.
  • Recent innovations aim to enhance aesthetic results and minimize patient morbidity.
  • Key areas of development include surgical techniques, biomaterials, and implant technology.

Purpose of the Study:

  • To review current advancements and controversies in IBBR.
  • To highlight eight critical "hot topics" shaping the field.
  • To discuss future directions in breast reconstruction.

Main Methods:

  • Review of current literature and emerging trends in IBBR.
  • Discussion of eight key areas: prepectoral reconstruction, nipple-sparing mastectomy, oncoplastic techniques, NAC neurotization, biologic matrices/synthetic meshes, next-generation implants, aesthetic outcome optimization, and safety concerns.
  • Synthesis of information on innovation, controversy, and future directions.

Main Results:

  • Prepectoral reconstruction offers benefits like reduced animation deformity and pain.
  • Nipple-sparing mastectomy improves aesthetic results and functional recovery, with efforts in NAC sensation restoration.
  • Adjunctive materials and next-generation implants expand reconstructive options.
  • Safety concerns include implant-associated cancers and breast implant illness (BII).

Conclusions:

  • IBBR is rapidly evolving with significant advancements in techniques and materials.
  • Balancing innovation with oncologic and systemic safety is crucial.
  • Future directions involve optimizing aesthetics, functional recovery, and patient safety in breast reconstruction.