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Oncoplastic and Reconstructive Breast Surgery pp 235–252Cite as

Immediate Implant-Based Breast Reconstruction Using Variable Lower Pole Support

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Abstract

This chapter puts forward the case for controlled support of a definitive, fixed-volume or shaped-adjustable implant for improved, long-term cosmesis in immediate implant-based breast reconstruction. Support is provided by either an acellular dermal matrix (ADM) or a deepithelialized lower pole dermal sling (LPS). We discuss the surgical considerations for an optimal skin-sparing mastectomy, nipple-sparing mastectomy, or skin-reducing mastectomy and the correct selection of the most appropriate lower pole support and implant to produce a good result. Specific techniques of pocket construction are discussed for both ADM-based and LPS-based pockets, with particular emphasis on how to define the inframammary fold and the lateral mammary fold. The chapter ends by outlining the early and delayed complications and experience with the techniques described as well as suggested strategies (including optimizing radiotherapy planning, delayed fat grafting) for successful management.

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Author information

Authors and Affiliations

  1. Atidim Medical Center, Tel Aviv, Israel

    Michael Sheflan

  2. The Mermaid Centre, Royal Cornwall Hospitals NHS Trust, Cornwall, UK

    Iain Brown

Authors
  1. Michael Sheflan
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  2. Iain Brown
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Corresponding author

Correspondence to Michael Sheflan .

Editor information

Editors and Affiliations

  1. , BreastUnit, Hospital Nossa Senhora das Gracas, Rua Padre Agostinho 913 ap 51, Curitiba, 80430050, Brazil

    Cicero Urban

  2. , Plastic and Reconstructive Division, European Institute of Oncology, Via Ripamonti, 435, Milan, 20100, Italy

    Mario Rietjens

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Sheflan, M., Brown, I. (2013). Immediate Implant-Based Breast Reconstruction Using Variable Lower Pole Support. In: Urban, C., Rietjens, M. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2652-0_24

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  • DOI: https://doi.org/10.1007/978-88-470-2652-0_24

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2651-3

  • Online ISBN: 978-88-470-2652-0

  • eBook Packages: MedicineMedicine (R0)

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