Updates in Direct-to-Implant Reconstruction (CBS News)

It was a decade ago this month that I had the opportunity to be interviewed by Dr. Max Gomez for a CBS News segment on advances in breast reconstruction. Since then we have had multiple additional advances, including prepectoral implant and AlloDerm breast reconstruction.

At that time, the direct-to-implant approach with the use of AlloDerm was a novel technique that revolutionized breast reconstruction. Today, using a dermal matrix in breast reconstruction has become routine.

One of my patients who was diagnosed with breast cancer at age 33 was also interviewed. After finding out that she carried a breast cancer genetic mutation, she chose to have bilateral mastectomies and single-stage direct-to-implant breast reconstruction with AlloDerm.

As I explain in the news segment, a dermal matrix such as AlloDerm can be used to reinforce the soft tissue after mastectomy while helping create a breast contour. In the past, implants were always placed partially under the pectoralis muscle and partially under AlloDerm. Today, the state-of-the-art has evolved with prepectoral implant and AlloDerm placement on top of the muscle. This can provide for a more natural and more comfortable breast reconstruction.

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A Celebration of Visual Art – Thoughts on Art and Medicine

May 7, 2019

My painting titled “Training the Next Generation” (seen in the photo) was just on exhibit at the 5th annual Zucker School of Medicine “Celebration of…