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Pocket Work for Optimizing Prosthetic Breast Reconstruction

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Breast Reconstruction

Abstract

Prosthetic-based breast reconstruction (PBR) is a recommendable option for women undergoing mastectomy who lack the necessary subcutaneous fat tissue for an autologous reconstruction. Furthermore, many women reject the morbidity of the donor site, prolonged recovery periods and muscular weakness associated with autologous reconstruction. Therefore, PBR in two stages has become one of the most popular approaches used in breast reconstruction. Notwithstanding, the expansion process may be hindered by events like seroma formation, implant rotation, moving upward or downward altering the location or shape of the inframammary fold, capsule contracture or extrusion. The second surgical stage, in which the tissue expander is exchanged for the permanent implant, offers a unique opportunity for pocket work. Pocket work strategies and their indications should be known and applied by the surgeon who aims at optimizing PBR aesthetic results.

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Correspondence to Hugo D. Loustau M.D. .

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© 2016 Springer International Publishing Switzerland

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Loustau, H.D., Mayer, H.F. (2016). Pocket Work for Optimizing Prosthetic Breast Reconstruction. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_38

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_38

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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