Direct-to-Implant vs Two-Stage Breast Reconstruction -Video Discussion by Neil A. Fine, MD

In this video, Dr. Neil Fine discusses the article, “Direct-to-Implant versus Two-Staged Expander-Implant Reconstruction: Two-Year Risks and Patient-Reported Outcomes from A Prospective, Multi-Center Study”-by Srinivasa, Garvey, Qi, et al. appearing in the November 2017 issue of Plastic and Reconstructive Surgery, Volume 140 Issue 5.
Read the article: journals.lww.co...

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For a woman who has small breasts and wants to do nipple and skin sparing mastectomy then tissue expander, I am imagining using a silicone implant would make the final breast look very fake? In this case, can liposuction and fats transfer help to improve things to give a natural look?