Abstract

The article by Yang et al., titled "Breast Reconstruction-Developing a Volumetric Outcome Algorithm," offers a detailed review of current research on breast volume loss, comparing various reconstruction methods and proposing strategies for optimization. The study examines the use of platelet-rich plasma (PRP) in fat transplantation, highlighting improved fat retention when PRP-enriched grafts are used. However, there is still limited strong clinical evidence supporting PRP's use in breast augmentation. Concerns are raised about the lack of standardized PRP preparation and characterization, as well as the omission of specific details such as platelet counts, leukocyte concentration, and the platelet-to-leukocyte ratio. Addressing these factors is crucial for reaching more reliable conclusions about PRP's role in breast augmentation procedures.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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