The “Prepectoral Breast Reconstruction” Supplement

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In a field known for its technological advances and surgical innovations,2 the area of plastic surgical breast reconstruction following cancer has witnessed an astonishing growth in our lifetimes with surprising and incredible advances. Our dear friend Scott Spear was right when he said that the advances in breast reconstruction in the first decades of the 21st century have been nothing short of “amazing.”
Prepectoral Breast Reconstruction is one of those innovative techniques that has changed the way we think about our procedures and outcomes, especially for those women who have undergone mastectomy. A lot has been written about this technique in this and other peer-reviewed plastic surgery journals in recent years. In rather rapid order, we’ve been able to watch the procedure originate, evolve, be refined, and continue to grow.3–8
As a special effort to put the most up-to-date information on the advances, applications, and implications of Prepectoral Breast Reconstruction in 1 volume, I proudly present to you this special supplement to Plastic and Reconstructive Surgery. As we are learning more and more about this innovative way to reconstruct breasts every day, this supplement is meant to set the stage for our readers on the current state of prepectoral breast reconstruction, so we can all be better prepared for the next wave of advances. This volume includes a range of important information on prepectoral breast reconstruction, including surgical considerations, potential challenges, comparisons to other procedures, updates on 2-stage and direct-to-implant reconstructions, devices, economics, and diverse perspectives. I urge you to read all 7 original articles herein; I know you will find the Prepectoral Breast Reconstruction Supplement before you today interesting and informative.
The techniques presented in this supplement to Plastic and Reconstructive Surgery do not necessarily represent best practices or endorsed techniques of the Guest Editors, Editor-in-Chief, Editorial Board, American Society of Plastic Surgeons (ASPS) or Wolters Kluwer Health. Publication of this supplement does not constitute product or sponsor endorsement by this Journal or the ASPS. None of the materials contained in this supplement are considered to be practice guidelines or best medicine protocols, but are merely the authors’ collective experience and expertise in the prescribed area. These articles and videos represent state-of-the-art studies, in-depth reviews, and personal operative techniques of the authors and have been rigorously peer-reviewed and revised before acceptance.
I am very appreciative for the responsiveness, commitment, enthusiasm, and leadership of this supplement’s guest editors, Scot B. Glasberg, MD, G. Patrick Maxwell, MD, and Maurice Nahabedian, MD, who bring their diverse perspectives, years of experience, and personal histories of surgical exploration and innovation to fruition in this supplement. I am grateful for their dedication, decisiveness, and leadership on this topic, and for all they do for plastic surgery every day.
I also would like to express my gratitude to the group of knowledgeable breast surgeons, oncoplastic surgeons, and plastic and reconstructive surgeons who served as authors, and those who served as peer reviewers. These women and men freely gave their time, energy, and dedication to write or review these articles; their devotion to advancing the field through written, peer-reviewed literature is refreshing and their efforts and sacrifices are truly appreciated.
This supplement was made possible by an unrestricted educational grant from Allergan plc. On behalf of the ASPS Executive Committee, the PRS and PRS Global Open Managing Committee, and the PRS Editorial Board, I would like to thank Allergan plc for their generosity. The content of the supplement was not dictated or influenced by the sponsor, and all financial declarations/affiliations of the authors have been intentionally and redundantly disclosed and printed in this supplement.

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