Breast Reconstruction: Current Challenges and Future Perspectives

Dear Colleagues,

Since Professor Vincent Czerny's groundbreaking autologous breast reconstruction (BR) in 1895, the concept and techniques of this practice have continuously evolved. Despite the remarkable progress made in this field, there are notable concerns that warrant special attention, particularly with the increasing survival of patients following radiotherapy and, as a consequence, higher rates of recurrence and mastectomies. This poses a distinct challenge for implant-based breast reconstruction, especially in the context of emerging trends like pre-pectoral direct-to-implant BR. The routine use of ADMs as part of prosthesis-based reconstruction has its own disadvantages, including complications, high costs, and availability issues. On the other hand, well-established autologous free flap reconstructions face scrutiny related to the complexity of the procedures and associated complication rates, prompting an important question: are these techniques overly burdensome for breast reconstruction? In light of these challenges, the gradual emergence of fat grafting and stem cells represents a promising new field that warrants further development.

This Special Issue of the Journal of Clinical Medicine, entitled "Breast Reconstruction: Current Challenges and Future Perspectives", aims to address the current obstacles faced by the health system. Our goal is to identify novel methods capable of overcoming these new challenges, thereby representing a significant step forward in the field of breast reconstruction.

Dr. Ahmad Kaviani
Dr. Alain Michel Danino
Dr. Alfred D. Fitoussi
Guest Editors

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• breast reconstruction
• oncoplastic surgery
• fat grafting
• breast implant
• autologous flap