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Breast reconstruction is commonly performed in several stages: restoration of the breast contour, revisions, and reconstruction of the nipple-areolar complex or increasingly these days in one stage, with nipple-sparing mastectomy and immediate autologous reconstruction or direct-to-implant DTI reconstruction with an acellular dermal matrix ADM. Patient selection is an important factor when considering prosthetic reconstruction, as a 1 or 2 stage technique. Poor candidates for prosthetic reconstruction often include women that have had prior radiation therapy, morbidly obese patients, and patient that are actively smoking tobacco products. The decision regarding skin vs.
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