Update in Direct-to-Implant Breast Reconstruction

Semin Plast Surg. 2019 Nov;33(4):264-269. doi: 10.1055/s-0039-1697028. Epub 2019 Oct 17.

Abstract

Implant-based reconstruction (IBR) remains the most commonly utilized breast reconstruction option for post-mastectomy patients. IBR can be approached as either a one-stage reconstruction or a two-stage reconstruction. Facilitated by improvements in surgical technology and advanced techniques, one-stage reconstruction, also known as direct-to-implant (DTI) reconstruction, involves the insertion of an implant at the time of mastectomy. The decision to pursue either a DTI or a two-stage reconstruction is based on several factors, including the patient's overall health, expected risk of postoperative complications, and associated costs to both the patient and hospital.

Keywords: direct-to-implant; implant-based breast reconstruction; mastectomy; single-stage.

Publication types

  • Review