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Direct to implant (DTI) breast reconstruction offers the obvious advantages of shortening the reconstructive process and reducing costs. In our practice, DTI has evolved from dual-plane (DP) to prepectoral (PP) implant placement. Prepectoral reconstruction offers additional benefits of elimination of pectoralis muscle animation deformity and potential reduction in postoperative pain and length of stay (LOS). We sought to understand post-operative complications, aesthetic outcomes, postoperative pain and LOS in DTI reconstructions and identify differences in the sub-cohorts (DP,PP).

plastic and reconstructive surgery. global open

Abstract: Evolution of the Surgical Technique for Direct to Implant Breast Reconstruction: Transitioning from Dual Plane to Pre-Pectoral Implant Placement