Open research questions in Breast Implant and Reconstruction
381 gap statements mined from Breast Implant and Reconstruction papers in our 7.9M-paper local library, which holds 1,924 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Limited data regarding the impact of aromatase inhibitors on surgical outcomes. Lack of quality evidence to directly compare implant exchange prior to and after postmastectomy radiation therapy. Limited evidence on perioperative management of systemic therapies.
The need to replace the NPWT device with the conventional low-pressure continuous suction system on POD 10 to collect data on daily drainage volume. The challenge of promoting early subcutaneous adhesion to prevent seroma formation.
Does Suction Strategy Using a Negative-Pressure Wound Therapy System at the Extended Latissimus Dorsi Flap Donor Site After Breast Reconstruction Contribute to a Reduction in Seroma Formation? · 2026 · DOIThe lack of a direct measure of material properties in the assessment of peri-implant capsular formation. The need for a more meaningful parameter to compare peri-implant tissue quality across patients.
Elasticity per Thickness Index for Breast Sonoelastography: Quantitative Analysis of Implant- and Clinically Related Peri-Implant Capsular Formation · 2026 · DOIThese materials differ in composition, degradation profile, and structure, and their potential influence on residual tumor cell behavior remains incompletely understood.
Comparative Effects of Biomaterials Used in Breast Surgery on Tumor Engraftment and Proliferation of Breast Cancer Cells in a Murine In Vivo Model · 2026 · DOIGlucagon-like peptide-1 receptor agonists (GLP-1s) are increasingly used for glycemic control and weight loss, but their impact on surgical wound complications remains unclear.
Patient satisfaction with preoperative information is a strong predictor of postoperative satisfaction, but it remains unclear how patient and surgeon perspectives differ regarding the quality and availability of educational resources and which areas of education most need improvement.
Gaps in Breast Reconstruction Patient Educational Resources: Comparing Patient and Surgeon Perspectives · 2026 · DOIWhile enhanced recovery after surgery (ERAS) and awake monitored anaesthesia care (MAC) have been described to promote same-day discharge (SDD) in conventional mastectomy, their application in reverse-sequence endoscopic nipple-sparing mastectomy (R-E-NSM) has not yet been established.
Optimal implant-based breast reconstruction (IBBR) for patients requiring postmastectomy radiation therapy (PMRT) after prepectoral reconstruction remains unclear.
Complications and patient-reported outcomes in breast cancer patients undergoing prepectoral implant-based breast reconstruction: direct-to-implant versus tissue expander-to-implant followed by postmastectomy radiation therapy · 2026 · DOIIt is unlikely that both views are correct and such a division in opinion is possibly driven by the lack of data on outcomes after delayed versus immediate symmetrization.
Clinical data suggests that the tissue type in contact with silicone breast implants alters susceptibility to developing capsular contracture; however, the tissue-specific inflammatory and fibrotic characteristics of capsule have not been well characterized at the cellular and molecular level.
The cellular and molecular properties of capsule surrounding silicone implants in humans vary uniquely according to the tissue type adjacent to the implant · 2024 · DOIThe prevalence of obesity in the United States exceeds 40%, yet perioperative effects of higher body mass index (BMI) in autologous breast reconstruction remain poorly studied.
The Effects of Body Mass Index on Postoperative Complications in Patients Undergoing Autologous Free Flap Breast Reconstruction · 2024 · DOIFurther investigation as to the causes of such variation is warranted in larger, more diverse cohorts.
Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy · 2024 · DOIHybrid deep inferior epigastric perforator (DIEP) flap and simultaneous silicone implant breast reconstruction procedures (“DIEP + I”) have many conceptual advantages compared with either reconstruction method alone, but the outcomes of DIEP + I reconstruction have not yet been well studied.
Deep Inferior Epigastric Perforator Flap with Implant Placement has a Favorable Complication Profile Compared with Implant-Only or Flap-Only Reconstruction · 2024 · DOIHowever, access to neurotization for DIEP reconstruction patients has not been evaluated.
Accessibility of Neurotization in Deep Inferior Epigastric Perforator Flap Reconstruction: Inequities and Implications for Preauthorization · 2024 · DOITo date, we have conflicting evidence regarding the histocompatibility between the SBI and its environment, as well as its exact pathomechanism on immune homeostasis.
Severe cardiovascular manifestation of ASIA syndrome triggered by silicone breast implants · 2024 · DOISevere, life-threatening manifestations of ASIA may occur occasionally after exposure to an adjuvant, however severe circulatory failure has not been reported so far [6].
Severe cardiovascular manifestation of ASIA syndrome triggered by silicone breast implants · 2024 · DOIOncoplastic breast-conserving surgery may be a better option than mastectomy, but high-quality comparative evidence is lacking.
Clinical and patient-reported outcomes in women offered oncoplastic breast-conserving surgery as an alternative to mastectomy: ANTHEM multicentre prospective cohort study · 2024 · DOIThis study provides international expert insight into the lack of consensus on surgical outcomes, efficacy and evidence-base supporting the use of ADMs in pre-pectoral IBBR.
254 Establishing Equipoise: Does the Use of Acellular Dermal Matrices (ADM) in Women Undergoing Pre-Pectoral Implant-Based Breast Reconstruction Increase Operative Success Versus Non-Use of ADM in the Same Setting? · 2024 · DOILimited evidence on the use of AI, 3D scanning, and AR in breast surgery. Complexity of breast anatomy and the need for accurate, longitudinal evaluation of breast remodeling.
Artificial intelligence in breast reduction surgery: a review of preoperative planning, intraoperative assessment and postoperative outcome prediction · 2026 · DOIThe current evidence remains largely preliminary and fragmented. Most published investigations are limited to feasibility analyses, case series, or small-sample pilot trials. The lack of large-scale, prospective, multicenter validation restricts the generalizability of existing findings.
Artificial intelligence in breast reduction surgery: a review of preoperative planning, intraoperative assessment and postoperative outcome prediction · 2026 · DOIThis systematic review and meta-analysis indicate that therapeutic ultrasound, when used as an adjunct to conventional therapy, may be associated with a reduction in breast engorgement severity; however, the magnitude and reliability of this effect remain uncertain. Evidence for pain reduction remains inconclusive, with substantial variability and imprecision across studies.
Clinical Effectiveness and Safety of Therapeutic Ultrasound for Breast Engorgement in Lactating Women: A Systematic Review and Meta-Analysis · 2026 · DOIThe study is limited by its retrospective design and monocentric setting. The sample size, although large, may not be representative of all patient populations. The study does not provide long-term follow-up data on the reconstructed breasts.
Immediate Implant-Based Breast Reconstruction: Analysis of 787 Cases and Definition of Our Decision-Making Algorithm · 2026 · DOIThere are few studies on the adverse effects and potential risks associated with simultaneous microsurgical breast reconstruction and neurotization procedures.
Complications and Donor Site Morbidity in Harvesting the Intercostal Main Nerve as a Graft for Breast Neurotization in Microsurgical Breast Reconstruction · 2025 · DOIWhile previous research has investigated factors influencing patient satisfaction following breast reconstruction, there are few studies on how patient satisfaction is impacted by revision procedures.
Validation of the ETI against histopathological findings, clinically significant Baker grades, or independent biomechanical measures.
Elasticity per Thickness Index for Breast Sonoelastography: Quantitative Analysis of Implant- and Clinically Related Peri-Implant Capsular Formation · 2026 · DOI
Most-cited papers in Breast Implant and Reconstruction
- Psychiatric problems in the first year after mastectomy. · BMJ · 1978 · 399 citations
- The surface topography of silicone breast implants mediates the foreign body response in mice, rabbits and humans · Nature Biomedical Engineering · 2021 · 294 citations
- La criminalisation de la jeunesse: les tendances au Canada / The criminalisation of youth · Déviance et Société · 2009 · 257 citations
- Survival After Breast Conservation vs Mastectomy Adjusted for Comorbidity and Socioeconomic Status · JAMA Surgery · 2021 · 223 citations
- Psychosocial outcomes of breast-conserving surgery versus mastectomy: A meta-analytic review. · Health Psychology · 1997 · 205 citations
- Effect of counselling on the psychiatric morbidity associated with mastectomy. · BMJ · 1980 · 191 citations
- Body Image in Women Treated For Breast Cancer · Nursing Research · 1993 · 154 citations
- Bra–breast forces generated in women with large breasts while standing and during treadmill running: Implications for sports bra design · Applied Ergonomics · 2012 · 109 citations
- Evaluation of professional bra fitting criteria for bra selection and fitting in the UK · Ergonomics · 2012 · 100 citations
- Breast reconstruction after mastectomy for breast cancer · Canadian Medical Association Journal · 2011 · 93 citations
Most recent work
- Tissue-Preserving Inframammary Fold Breast Augmentation: A 3-Year Clinical Experience · Aesthetic Surgery Journal · 2026
- Single-Port Robot-Assisted Nipple-Sparing Mastectomy: Main Analysis of a Retrospective Multicenter Study (SPROUT, KoREa-BSG 09) · Annals of Surgical Oncology · 2026
- Comparing Nipple and Areola Sensory Outcomes and Nerve-Related Complications Using Different Incision Types in Breast Augmentation: A Scoping Review · Aesthetic Plastic Surgery · 2026
- Capsular Contracture Rates in Subfascial and Subglandular Breast Augmentation With Smooth vs Textured Implants · Aesthetic Surgery Journal · 2026
- A Comparative Immunological Assessment of the Capsules From Silicone Implants With 0-µm and 4-µm Surfaces · Aesthetic Surgery Journal · 2026
- ACR Appropriateness Criteria® Breast Implant Evaluation: Update 2025 · Journal of the American College of Radiology · 2026
- Outpatient Mastectomy with Reconstruction at Ambulatory Surgery Centers · Annals of Surgical Oncology · 2026
- Weight a Minute: Investigating the Impact of Body Mass Index on Early Outcomes After Breast Augmentation · Aesthetic Plastic Surgery · 2026
- Risk factors for capsular contracture: a study of 91 537 breast implants over 6 years from the Australian Breast Device Registry · Plastic & Reconstructive Surgery · 2026
- Breast Implant Illness: Are We Measuring What Matters? A Systematic Review of Symptom Variability and the Impact of Methodology. · Plastic & Reconstructive Surgery · 2026
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