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Originally published on PRS Global Open website in May 2025 Although Spear1 initially described a 2-stage approach to nipple-sparing mastectomy (NSM) and implant reconstruction in ptotic patients, several studies have since described NSM, mastopexy, and immediate reconstruction in 1 stage.2 These approaches require both…
Originally published on PRS Global Open website in May 2025 Abstract Background: The use of a tissue expander (TE) followed by a definitive implant is the most common approach for breast reconstruction after mastectomy. The purpose of this study was to…
Originally published on PRS Global Open website in December 2015 Abstract Background: Oncoplastic breast conservation has been classically divided into volume displacement (VD) or volume replacement (VR) techniques. There have been few descriptions of merging these two approaches. This report…
Originally published on PRS Global Open website in March 2024 Abstract Summary: Smaller breasts require volume replacement to allow for breast conservation for large tumor to breast size ratios. The lateral intercostal artery perforator (LICAP) flap is one of the…
Originally published on PRS Global Open website in December 2015 Abstract Summary: Obese patients undergoing mastectomy have been documented to have improved outcomes after autologous reconstruction. The Goldilocks mastectomy (GM) has been proposed as a low-risk first-stage bridge to a…
Originally published on PRS Global Open website in December 2015 Abstract There has been a recent emphasis to offer women who forego reconstruction after mastectomy a surgically optimized flat closure (aesthetic flat closure (AFC)). While this certainly requires attention to details not…
Originally published on PRS Global Open website in December 2015 Abstract Summary: Centers of excellence strive for high rates of breast conservation surgery. Given the increased patient satisfaction, evidence for improved survival, decreased rates of complications, reduced costs, and fewer…
Originally published on PRS Global Open website in December 2015 Abstract Prepectoral implant-based breast reconstruction has become more common given the reduced dissection, decreased postoperative pain, elimination of animation deformity, and improved aesthetics compared with subpectoral reconstructions. Despite these benefits,…
Originally published on PRS Global Open website in April 2023 I read with interest a recent article by Manrique et al. entitled “Immediate Breast Reconstruction Using the Goldilocks Procedure: A Balance between More Surgery and Patient Satisfaction.”1 I congratulate the authors…
Originally published on PRS Global Open website in November 2022 Abstract Background: Nipple-sparing mastectomy (NSM) and direct-to-implant reconstruction (DTIR) allow patients to complete their surgical care in one surgery. However, for women with significant ptosis, NSM is frequently not offered…