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.
Read article →
Biologic or Synthetic Mesh in Breast Reconstruction: The Evidence and the Trade-Offs
The randomised head-to-heads favour synthetic mesh on seroma; biological matrices offer integration into thin cover. The choice is made patient by patient.
Read article →
Prepectoral or Subpectoral: What the Evidence Now Shows
Pooled data favour prepectoral placement on three outcomes and disfavour it on none. The evidence is consistent but observational, and the first…
Read article →
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.
Read article →
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…
Read article →
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.
Read article →
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.
Read article →
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.
Read article →
Prepectoral vs Subpectoral Breast Reconstruction: An Evidence-Based Comparison
Above or below the muscle? A sourced, even-handed comparison of prepectoral and subpectoral implant-based breast reconstruction.
Read article →