Hot Pockets: Tips and Tricks in Plane Conversion Webinar (Breast) | ASPS Global Partners Webinar Series-ASPS Global Partners Webinar Series: Hot Pockets: Tips and Tricks in Plane Conversion Webinar (Breast)

Video Transcription

Video Summary

The webinar "Hot Pockets: Tips and Tricks in Plane Conversion" was focused on implant-based breast reconstruction hosted by the American Society of Plastic Surgeons (ASPS). Dr. Aparna Bijay Asarkaran from the Mayo Clinic discussed the evolution of pre-pectoral breast reconstruction, highlighting its growth due to advances like acellular dermal matrix (ADM) and addressing common revision reasons such as animation deformity and capsular contracture. Dr. Michelle Roerton, practicing in North Carolina, explored plane conversion from submuscular to subglandular implants, emphasizing patient counseling about postoperative expectations, handling capsular contracture, and utilizing techniques like quilting for tissue reinforcement. She also discussed patient management strategies in cosmetic revisions, highlighting the integration of revision assurance policies to manage costs and maintain positive surgeon-patient relationships. Professor Scott Hollenbeck from the University of Virginia presented on transitioning from subpectoral to prepectoral implants, emphasizing the importance of recreating mastectomy pockets and utilizing tissue expanders in new pocket formations. He also noted alternatives in various regions due to costs, like the use of endoscopic latissimus dorsi flaps and polyurethane-coated implants. Throughout the presentations, the importance of patient selection and customization based on individual anatomical and lifestyle needs was a consistent theme. Panelists also discussed the potential limitations of ADM use due to cost and insurer restrictions. The session concluded with an acknowledgment of the evolving nature of breast reconstruction techniques and the importance of adapting to technological and patient care advancements.

Keywords

breast reconstruction

pre-pectoral implants

Acellular Dermal Matrix

capsular contracture

animation deformity

fat grafting

patient selection

surgical techniques

financial aspects

tissue expanders

submuscular to subglandular conversion

revision assurance policies

latissimus dorsi flaps

patient customization