Abstract

Background: Implant-based breast reconstruction (IBBR) after mastectomy either with TE or DTI in pre-pectoral position has been widely accepted. The pre-pec breast reconstruction, in fact, spares muscles, preserving the natural anatomy and reduces post-operative pain. Moreover, the pre-pec approach is associated to a decreased risk of capsular contracture and animation deformities. An increasing number of women, who undergo IBBR, will require post mastectomy radiotherapy (PMRT), since the meta-analysis of Early Breast Cancer Trialists’ Collaborative Group (EBCTCG) confirmed a significant reduction of both local recurrence and breast cancer mortality in patients with pathological nodal involvement and locally advanced cancer.

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