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Considering breast implant reconstruction after mastectomy? Discover advanced surgical options including pre-pectoral (above-muscle) placement, direct-to-implant surgery, and groundbreaking techniques like Resensation™ to potentially restore feeling. Join Dr. Aldona J. Spiegel from Houston Methodist as she delves into the surgical aspects of modern breast implant reconstruction. This video covers essential patient preparation, including preoperative medical clearance and testing (labs, EKG) to ensure surgical safety. Learn the difference between immediate reconstruction (performed at the same time as mastectomy) and delayed reconstruction. Dr. Spiegel details the evolution of implant placement techniques, contrasting traditional sub-pectoral (under the muscle) methods with advanced pre-pectoral (above the muscle) placement. Understand how innovations like acellular dermal matrix (ADM) or collagen support pre-pectoral placement, potentially minimizing capsular contracture and enabling direct-to-implant, single-stage reconstruction without tissue expanders in many cases. A key focus is sensation after mastectomy. Dr. Spiegel explains why sensation is often lost and discusses Resensation™ – procedures involving nerve grafting (neurotized reconstruction) aimed at restoring a degree of feeling to the reconstructed breast, a technique increasingly applied even in implant-based reconstructions. ⏱️ TIMESTAMPS: 0:00 - Importance of Patient Preparation 0:05 - Preoperative Medical Clearance & Testing Process 0:50 - Timing Your Surgery: Immediate vs. Delayed Reconstruction 1:34 - Understanding Direct-to-Implant Reconstruction 1:48 - Implant Placement Explained: Pre-Pectoral vs. Sub-Pectoral 2:07 - The Role of Collagen Matrix (ADM) in Modern Techniques 2:24 - Benefits of Pre-Pectoral & Single-Stage Reconstruction 2:34 - Why Sensation is Lost During Mastectomy 3:14 - Restoring Feeling: Introduction to Resensation™ / Neurotized Reconstruction 3:30 - Applying Resensation™ to Implant-Based Procedures This video features Aldona J. Spiegel, MD, Director of the Houston Methodist Center for Breast Restoration and Professor of Clinical Plastic Surgery at the Houston Methodist Institute for Reconstructive Surgery. Houston Methodist offers leading-edge, compassionate care for individuals navigating breast cancer treatment and reconstruction. #BreastImplant #BreastReconstruction #PlasticSurgery #HoustonMethodist #DirectToImplant #Resensation #PrePectoral #ADM