Rigottomy in the Irradiated and Reconstructed Chest: Depth and Timing
Two questions decide whether percutaneous release is safe in an irradiated or reconstructed chest: how deep, and when. Neither has a number…
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Rigottomy Release Mechanics: Why the Cuts Must Not Join Up
The technique is not cutting the scar; it is building many separate spaces small enough for a graft to survive in. Releases…
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Prepectoral or Subpectoral: What Changes When the Plane Changes
Prepectoral placement moves the burden from the muscle to the mastectomy flap. An improvement where the flap can carry it, a mistake…
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Reading the Mastectomy Flap: The Decision That Is Still Open in Theatre
Direct-to-implant is a single-stage operation resting on a judgement made mid-operation. What is assessed, why it cannot be decided beforehand, and what…
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Planning Fat Grafting Across Sessions: Volume, Staging and the Overfill Trap
Past a certain volume, added fat does not add retained volume — it subtracts it. Why staging is the plan rather than…
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What Actually Determines Fat Graft Retention
Retention is not a property of the fat but of the space it was placed into. A surgeon-facing walk through the chain:…
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Questions to Ask Your Surgeon Before Breast Reconstruction
Consultations are short and full of unfamiliar vocabulary. The questions worth asking, why each matters, and what a good answer sounds like.
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Is Fat Grafting Safe After Breast Cancer? The Oncological Evidence
The laboratory worry, the clinical evidence and the honest caveats: what studies of thousands of patients show about fat grafting after breast…
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Breast Reconstruction Recovery: A Realistic Timeline, Week by Week
Several timelines run at once after reconstruction and they finish at different times. What typically happens, and when, in plain language.
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Hybrid Breast Reconstruction: Combining an Implant, Matrix Support and Fat Grafting
Implant for structure, fat for the living envelope, matrix for support: the rationale, technique and published outcomes of hybrid reconstruction.
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