The original technique for breast reconstruction, as described by one of my mentors (Randall H. Guthrie, MD), involved the creation of a pre-pectoral pocket. In other words, after the mastectomy and during the reconstruction, the breast implant was placed in the space above the muscle and below the skin. Many surgeons, however, were uncomfortable with […]

The current issue of the journal JAMA Surgery has 3 interesting articles regarding breast reconstruction. Two of the articles compare the differences between autologous breast reconstruction (using the patient’s own tissues) and implant-based reconstruction. (Santosa, KB, et. al. JAMA Surg. 2018;153(10):891-899 and Bennett, KG, et. al. Jama Surg. 2018;153(10): 901-908 ) The article by Dr. […]