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To stage or not to stage in breast reconstruction, that is the question. Authors from Johns Hopkins Department of Plastic Surgery compared outcomes in patient satisfaction and surgical outcomes in immediate versus staged versus delayed autologous free flap-based breast reconstruction. The authors demonstrated no differences in overall surgical complications or patient satisfaction among the techniques. Staged breast reconstruction is an appropriate option for autologous breast reconstruction when post-mastectomy radiation therapy (PMRT) may be needed, with complication rates and patient satisfaction scores that are comparable to both immediate and delayed approaches.

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