Pre-Pectoral Breast Reconstruction (Placing a breast implant in front of the pectoral muscle versus

I recently attended a meeting of the Fort Worth Society of Plastic Surgeons on the topic of breast reconstruction in front of the pectoralis muscle (pre-pectoral). The speaker at the meeting was Michelle Roughton, a clinical assistant professor in the plastic surgery division at the University of North Carolina. She presented a very nice series including a year of impressive follow-up data on breast reconstruction utilizing this approach. Most breast reconstruction is done sub-pectoral (under the pectoralis muscle) because it gives the implant coverage from the overlying tissues, and the rate of capsular contracture (the breast and/or implant becoming "hard") was less than when the pre-pect

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