Does Breast Implant Size Larger Than Mastectomy Specimen Size Increase the Risk of Flap Necrosis?
Lisa B Cassileth, Kelly Killeen, Amy York, Dorian Rosen · 2026
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Description
Lisa Cassileth, Kelly Killeen, Amy York, and Dorian Rosen ask if a bigger implant raises harm after mastectomy in a 2026 study. After breast removal, a thin skin flap must heal over the new implant. If that flap dies, care gets hard. Many surgeons warn against rebuilding a breast larger than the one removed. Yet proof on that point was thin.
The team reviewed nine years of direct-to-implant rebuilds after nipple-sparing surgery. The set held 499 breasts in 270 women treated by two surgeons. In the upsize group the implant beat the removed tissue in size. Flap death was a bit lower there than in the downsize group, though the gap was not firm. Body weight, not size gap, tracked with flap death.
Catalog record
| CREATOR | Lisa B Cassileth, Kelly Killeen, Amy York, Dorian Rosen |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 31 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |