Controversy When Choosing the Anatomical Plane for Post Mastectomy Breast Reconstruction.

Caputo et al. (2) carried out a retrospective study with 94 patients submitted randomly to mastectomies with different surgical approaches with subsequent reconstruction with insertion of breast implants in the various planes. Complications and postoperative symptoms were evaluated, as well as the impact on quality of life. It was observed that the pre-pectoral approach had a beneficial effect on the patient's quality of life, sexual well-being, and aesthetic satisfaction (2). In conclusion, the use of the subpectoral plane for implant positioning in postmastectomy reconstruction is still widely accepted. The prepectoral plane has brought new challenges as well as more questions about the best technique. Studies have shown that the pre-pectoral technique decreases the rate of less desired outcomes. There is an aesthetic improvement, a good impact on quality of life, and the rate of postoperative comorbidities decreases.