Breast Reconstruction: Implant and Autologous, Breast Reconstruction and Management of Complications Recording | Featuring Argentina | Global Partners Webinar Series-Breast Reconstruction: Implant and Autologous, Breast Reconstruction and Management of Complications

Breast Reconstruction: Implant and Autologous, Breast Reconstruction and Management of Complications | Global Partner Webinar Series

Back to course

Video Transcription

Video Summary

In this ASPS Global Partners webinar, Dr. Mitch Brown from Toronto discusses strategies to minimize complications in implant-based breast reconstruction, highlighting techniques like popcorn capsuloraphy and the use of acellular dermal matrix (ADM) to manage issues like capsular contracture and implant malposition. Dr. Brown suggests that ADMs can be particularly beneficial in recurrent capsular contracture cases and in radiated fields, whereas synthetic meshes like Vicromesh are effective for stabilizing implants to reduce malposition.<br /><br />Dr. Martin Colombo, from Argentina, discusses breast reconstruction with a focus on risk-reducing mastectomy techniques. He emphasizes the importance of nipple-sparing mastectomy for its aesthetic and oncological safety, and the growth in direct-to-implant and pre-pectoral reconstruction techniques. Colombo highlights the benefits of polyurethane implants which reduce the need for ADM use. He also stresses the importance of incision placement in minimizing complications and ensuring optimal outcomes.<br /><br />Dr. Claudio Angrigiani introduces the laterally designed anterior intercostal artery perforator flap for breast volume restoration post-implant explantation, emphasizing its reliability and minimal donor site morbidity. This technique involves de-epithelializing the flap based on consistent vascular anatomy and provides an alternative to traditional methods, especially for patients preferring autologous tissue reconstruction without additional implants.<br /><br />The webinar concludes with discussions on individualizing breast reconstruction techniques based on patient anatomy and preferences, considering advancements in both surgical methods and implant technology.

Keywords

implant-based breast reconstruction

popcorn capsuloraphy

acellular dermal matrix

capsular contracture

nipple-sparing mastectomy

direct-to-implant reconstruction

polyurethane implants

intercostal artery perforator flap

autologous tissue reconstruction

breast reconstruction techniques