National breast reconstruction utilization in the setting of postmastectomy radiotherapy: two-stage implant-based breast reconstruction

We read your article “National Breast Reconstruction Utilization in the Setting of Postmastectomy Radiotherapy” and found the data on immediate breast reconstruction (IBR) that you pointed out really interesting. It is very newsworthy how IBR practice has developed since 2004 in both radiated and nonradiated patients. It is even more significant to note that since 2008, implants surpassed autologous reconstruction as the most common IBR method despite the possibility of postmastectomy radiotherapy (PMRT). The clinical practice at our unit follows the trend you havedescribed. However, we noticed that PMRT could cause some difficulties in heterologous IBR as biomaterial alterations or capsular contracture.