Direct to Implant (DTI)

Direct to implant reconstruction avoids the use of tissue expanders and the final breast implant is placed at the same time as the mastectomy. 

The implant can be placed either above or below the pectoralis muscle.  An acellular dermal matrix (ADM) or Strattice is typically used in direct to implant reconstruction procedures.  Although never visible, the ADM/Strattice can be placed over the bottom of the implant like a sling to help keep the implant in position (for implants placed under the muscle) or can surround the implant completely to provide an extra layer of coverage over the implant (for implants placed above the muscle).  

 

Risks

 

Capsular Contraction

 

Implant Rejection