I just returned from the Northeastern Society of Plastic Surgeons meeting in Providence, Rhode Island. I had the distinct honor of participating in a breast reconstruction panel moderated by Dr. Sumner Slavin of Beth Israel-Deaconess Hospital in Boston. My co-panelists included Dr. Amy Colwell from Massachusetts General Hospital in Boston and Dr. Mihye Choi from New York City. The focus of the panel was the impact of body weight on breast reconstruction alternatives. We were also asked to comment on new innovations that really appear to have revolutionized contemporary breast reconstruction.

How does body type impact breast reconstruction decision-making? Interesting findings include that women across a spectrum of body types can all have very nice results. Larger women may benefit from utilizing tissue from the abdomen or back to create better proportionality, while smaller proportioned women do really well with implants, often placed in what is primarily a single stage procedure.

New trends in breast reconstruction that are “here to stay” include fat transfer to smooth results and fill contour irregularities (bonus liposuction!); anatomically-shaped, form-stable silicone gel implants to allow more natural look and match to the native, unoperated breast; and single stage implant reconstruction. These are all very exciting innovations.

The results seen in breast reconstruction continue to evolve, and the past 2 years has seen a particular explosion in innovation for primary breast reconstruction, and for women who are ready for an upgrade. If you have any questions and would like to explore options that are best for you, please call (410)616-3000 to schedule an appointment with Dr. Shermak, or visit


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