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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Radiotherapy and Implant-Based Breast Reconstruction: Timing, Plane and Evidence
What PMRT does to implant-based reconstruction, the timing debate, the prepectoral question and the role of matrix support and fat grafting.
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Seroma After Mastectomy and Breast Reconstruction: Causes, Prevention and Management
The most common thing to go slightly wrong after breast surgery: why seromas form, why they matter more around an implant, and…
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Matrix Complications in Breast Reconstruction: Seroma, Infection and Red Breast Syndrome
A sourced educational review of matrix-associated complications: seroma, infection, and the cellulitis mimic called red breast syndrome.
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Mastectomy Flap Necrosis: Risk Factors, Perfusion Assessment and Prevention
The complication that turns good reconstructions bad: flap risk factors, ICG perfusion assessment and the decisions flap quality should drive.
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Capsular Contracture in Implant-Based Reconstruction: Risk Factors, Prevention and the Role of Matrices
What drives capsular contracture, how radiotherapy and implant plane change the risk, and what matrix-assisted series report.
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