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Medicina
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Current Trends in Breast Reconstructive Surgery
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Current Trends in Breast Reconstructive Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 30 September 2026 | Viewed by 1882

Editor

Dr. Daniele Fusario

E-Mail Website
Guest Editor
Unit of General Surgery, Department of Surgery, San Giovanni Battista Hospital, USL Umbria 2, Foligno, Italy
Interests: breast; oncoplastic; surgery; breast cancer; reconstructive surgery

Special Issue Information

Dear Colleagues,

I am pleased to announce a Special Issue of the journal Medicina titled “Current Trends in Breast Reconstructive Surgery”, dedicated to exploring advancements and challenges in breast reconstruction techniques after surgery for breast cancer.

Although the study of breast cancer and its surgical treatment have paved the way for numerous discoveries in the field of oncology, today there are still many emerging technical innovations in reconstructive fields. Indeed, the demand for breast reconstruction is growing and new techniques have been introduced to provide better cosmetic results and increase cancer safety.

In a complex surgical procedure like breast reconstruction, the capacity to prevent postoperative complications by selecting the most-appropriate patient-tailored reconstructive technique would have significant implications for patient satisfaction.

Submissions focusing on innovative approaches to improve surgical outcomes and minimize complication rates are called for. Moreover, papers on the evaluation of patient satisfaction, esthetic results, and quality of life following reconstruction are encouraged.

This Special Issue aims to be a meeting point for physicians and researchers to share knowledge and contribute to the evolution of breast reconstruction techniques, aiming to improve the outcomes and quality of life of patients recovering from breast cancer.

Dr. Daniele Fusario
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • breast reconstruction
  • breast cancer
  • oncoplastic
  • alloplastic breast reconstruction
  • autologous breast reconstruction
  • outcomes
  • complications
  • patient satisfaction

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Published Papers (2 papers)

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Research

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10 pages, 2899 KB  
Article
Ergonomic Implants: A Single Centre Experience in Post-Mastectomy Breast Reconstruction
by Daniele Fusario, Sofia Alessandrini and Gianfranco Lolli
Medicina 2026, 62(6), 1064; https://doi.org/10.3390/medicina62061064 - 31 May 2026
Viewed by 542
Abstract
Background and Objectives: Implant-based breast reconstruction is nowadays the most commonly used reconstructive technique and offers a safe and relatively simple surgical approach. Textured, anatomically shaped implants have been the primary option for women undergoing breast reconstruction for decades. However, anatomically shaped [...] Read more.
Background and Objectives: Implant-based breast reconstruction is nowadays the most commonly used reconstructive technique and offers a safe and relatively simple surgical approach. Textured, anatomically shaped implants have been the primary option for women undergoing breast reconstruction for decades. However, anatomically shaped implants are form-stable devices, providing firmness and rigidity, and can cause malrotation, requiring revision surgery. Ergonomic round silicone gel implants began to gain popularity due to the capacity to adapt to gravity and the patient’s position, providing a natural, “anatomical” appearance in an upright position. The objective of this study was to describe our two-year experience with Motiva Ergonomix Round Silksurface™ implants and to evaluate their safety and efficacy for immediate and delayed breast reconstruction procedures. Materials and Methods: An observational retrospective study was conducted on a population of patients undergoing mastectomy for breast cancer and immediate or delayed reconstruction with Motiva Ergonomix Round Silksurface™ implants. We enrolled 61 patients from December 2023 to December 2025: a total of 87 ergonomic prostheses were implanted. Results: The average implant volume was 269 ± 105 (105–510) cc. One surgical infection occurred (1.1%); three persistent seromas (3.4%); and two cases of rippling (2.3%). Only one CTCAE G3 complication was recorded, a grade IV Baker capsular contraction (1.1%). The BREAST-Q results after surgery showed a high rate of patient satisfaction. Conclusions: Ergonomic round implants with a nano-textured surface were developed to give a natural breast appearance following mastectomy, as well as to prevent rotation, one of the complications that can affect anatomical implants. Our data have demonstrated low complication rates and high patient satisfaction. These results encourage us to expand our experience with these ergonomic, round, nano-textured implants and seriously consider them as an increasingly important device in breast reconstruction after mastectomy to be placed alongside more well-known anatomical implants. Full article
(This article belongs to the Special Issue Current Trends in Breast Reconstructive Surgery)
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Review

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23 pages, 389 KB  
Review
Surgical Burden of Breast Cancer Treatment: Implications of Mastectomy, Breast Conservation, and Reconstruction Choices
by Luke Wojtalik, Thomas J. Sorenson, Amitesh Verma, Nolan Karp and Richard Shapiro
Medicina 2026, 62(6), 1016; https://doi.org/10.3390/medicina62061016 - 23 May 2026
Viewed by 844
Abstract
Breast cancer surgical management encompasses a spectrum of options that extend beyond oncologic control and carry substantially different cumulative surgical burdens. Although breast-conserving therapy (BCT) and mastectomy offer equivalent survival outcomes in many clinical scenarios, the downstream implications of these choices, including the [...] Read more.
Breast cancer surgical management encompasses a spectrum of options that extend beyond oncologic control and carry substantially different cumulative surgical burdens. Although breast-conserving therapy (BCT) and mastectomy offer equivalent survival outcomes in many clinical scenarios, the downstream implications of these choices, including the number of operations, complication profiles, recovery timelines, and need for revision, are often underrecognized during initial treatment planning. This review aims to provide non-plastic surgeons with a practical framework for understanding the surgical burden associated with BCT compared with mastectomy and, when mastectomy is selected, the implications of subsequent reconstructive pathways. By discussing breast cancer surgery through the lens of cumulative surgical burden rather than isolated procedural choices, this review seeks to support more informed, multidisciplinary counseling and shared decision-making. A clearer understanding of reconstructive trajectories may help align surgical recommendations with patient values, optimize expectations, and reduce unanticipated downstream interventions across the continuum of breast cancer care. Full article
(This article belongs to the Special Issue Current Trends in Breast Reconstructive Surgery)
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