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Prepectoral Breast Reconstruction in Challenging Patients

Gabriel, Allen MD; Maxwell, G. Patrick MD

Plastic and Reconstructive Surgery: December 2017 - Volume 140 - Issue 6S - p 14S-21S
doi: 10.1097/PRS.0000000000004046
Original Articles

Summary: Implant-based reconstructions continue to remain on the forefront of breast reconstruction as the prepectoral approach gains popularity. This article reviews the challenging patients that surgeons face when evaluating their candidacy for prepectoral reconstruction. The prepectoral approach for thin, high body mass index and previously radiated patients will be reviewed.

Loma Linda, Calif.

From the Department of Plastic Surgery, Loma Linda University Medical Center.

Received for publication June 18, 2017; accepted September 5, 2017.

Disclosure: Drs. Gabriel and Maxwell are consultants for Allergan, Parsippany, N.J. Dr. Maxwell is a past consultant to LifeCell. No funding was received for this article.

Allen Gabriel, MD, Department of Plastic Surgery, 505 NE, 87th Avenue, Suite 250, Vancouver, WA 98664,

Copyright © 2017 by the American Society of Plastic Surgeons