ExaShape in Practice: Which Configuration, Which Patient, and How to Use It
Why ExaShape, in which cases, which configuration, and how it is used in theatre, from the flap decision to the refinement stage.
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The Cost-Effectiveness of Breast Reconstruction: What Actually Drives the Numbers
Unit price is the least informative number in reconstruction economics. Complications, theatre time and the number of operations drive cost; the unit…
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Direct-to-Implant or Two-Stage: Reading a Meta-Analysis, a Trial and a Cohort Together
A meta-analysis, a randomised trial and a prospective cohort give three different answers. Selection on the mastectomy flap explains all three.
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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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Direct-to-Implant Breast Reconstruction: Patient Selection, Technique and Evidence
A professional overview of DTI reconstruction: the selection criteria, the cautions, and where soft-tissue matrix support fits.
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