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Pre-pectoral implant placement has recently emerged as an approach requiring minimal dissection and muscular manipulation with the added benefit of patients reporting less pain. Erica B. Lee @elee113 and her co-authors from the Johns Hopkins Department of Plastic and Reconstructive Surgery investigated opioid requirements in pre-pectoral implant-based breast reconstruction through a survey released at four timepoints post-operatively. They observed a similar amount of patients required a refill of narcotics as those who never used their prescription; thereby highlighting the extremely personal experience of pain and the challenges plastic surgeons face when determining appropriate prescriptions. A Prospective Investigation of Opioid Use in Prepectoral Breast Reconstruction with Implications for Practice Erica B. Lee, MS @elee113; Franca Kraenzlin, MD; Pooja Yesantharao, MD @pyrao1; Halley Darrach, MD @drdarrach; Helen Xun, MD @surgineer; Justin M. Sacks, MD MBA @jms_bigpoppa; Kristen Broderick, MD @kpbroderick Department of Plastic and Reconstructive Surgery, Johns Hopkins, Baltimore MD

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