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Evidence-Based Medicine: Alloplastic Breast Reconstruction

Lennox, Peter A., M.D.; Bovill, Esta S., M.D., Ph.D.; Macadam, Sheina A., M.D.

Plastic and Reconstructive Surgery: July 2017 - Volume 140 - Issue 1 - p 94e-108e
doi: 10.1097/PRS.0000000000003472
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Learning Objectives: After studying this article, the participant should be able to: 1. Understand the different advances that have resulted in improved outcomes in implant-based reconstruction. 2. Gain knowledge about specific techniques that have evolved rapidly in recent years and how to implement these. 3. Gain an understanding of controversies associated with alloplastic reconstruction. 4. Recognize undesirable outcomes in implant-based breast reconstruction and understand strategies for correction.

Summary: There have been multiple advances in implant-based breast reconstruction. Many of these have resulted in improvements in patient outcomes and care. Understanding new techniques and technologies ensures competence in providing care for the alloplastic breast reconstruction patient. This article was prepared to accompany practice-based assessment with ongoing surgical education for the Maintenance of Certification for the American Board of Plastic Surgery. It is structured to outline the care of the patient with the postmastectomy breast deformity.

Vancouver, British Columbia, Canada

From the Department of Surgery, Division of Plastic and Reconstructive Surgery, University of British Columbia.

Received for publication February 12, 2016; accepted October 24, 2016.

Disclosure:Dr. Macadam and Dr. Bovill have no financial interest in any of the products or devices mentioned in this article. Dr. Lennox is a consultant for LifeCell and Allergan and a shareholder in Strathspey Crown.

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s website (

Peter A. Lennox, M.D., Plastic and Reconstructive Surgery, University of British Columbia, 777 West Broadway, Suite 1000, Vancouver, British Columbia V5Z 4J7, Canada,

Copyright © 2017 by the American Society of Plastic Surgeons