Planning Pre-pectoral Implant-Based Breast Reconstruction When Confronted with XRT

Yoav Gronovich*, Merav Ben-David, Michael Schefan

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Implant-based reconstruction is the most common form of breast reconstruction. Although this has been considered questionable in the face of radiation therapy, advancements both in radiation technology and the use of ADM and fat grafting have made the pre-pectoral approach in one or two stages a safe reconstructive procedure in radiation setting. In previously irradiated patients requesting reconstruction, the decision as to whether implant-based reconstruction is feasible depends on thorough examination of their tissues for clinical signs of radiation damage. In the era of autologous fat transfer (AFT), implant-based reconstruction may be performed even in patients whose tissues have been damaged by radiation therapy, by first regeneration the tissue with fat grafting and then, inserting an implant or tissue expander for completion of the reconstruction process.

Original languageEnglish
Title of host publicationPrepectoral Breast Reconstruction
Subtitle of host publicationCurrent Trends and Techniques
PublisherSpringer International Publishing
Number of pages16
ISBN (Electronic)9783031155901
ISBN (Print)9783031155895
StatePublished - 1 Jan 2023
Externally publishedYes


  • Direct to implant
  • Implant-based reconstruction
  • Post mastectomy radiation
  • Pre-pectoral
  • Radiation therapy
  • Sub-pectoral
  • XRT


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