Prepectoral Techniques in Reconstructive Breast Surgery

"This book outlines the rationale, scientific basis, and techniques of tissue expander/implant-based prepectoral breast reconstruction surgery.  The intended audience is reconstructive breast surgeons.  Each chapter begins with key points. Topics are succinctly presented in a manner that is easy to comprehend. The authors first offer a historical perspective on breast implant placement. The subsequent chapters then discuss acellular dermal matrix incorporation; guiding principles in mastectomy and nipple sparing techniques along with optimal placement of the incisions for these procedures.  A chapter on assessing tissue viability is followed by a discussion of various prepectoral implant approaches and accompanying ancillary procedures that have been found to be beneficial for the reconstructive breast surgery patient. These procedures include: breast reconstruction with and without acellular dermal matrix; data that corroborates that prepectoral placement is optimal; fat grafting; patient selection and the use of this modality in the high body mass index individual; timing for reconstruction with consideration of radiation, tissue expansion, conversion of implants to another plane; and complications and postoperative considerations, along with cancer surveillance unique to the prepectoral placement of implants. The last chapter highlights the economic rationale for this technique.  The authors present a sound alternative for breast reconstruction which may shift surgeons from the reconstructive techniques they have previously employed."  Weighted Numerical Score: 80 - 3 Stars