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Invited Commentary
January 2019

The Third Postmastectomy Reconstruction Option—Autologous Fat Transfer

Author Affiliations
  • 1New York University School of Medicine, New York
  • 2University of Texas Southwestern Medical Center, Dallas
  • 3Miami Breast Center, Key Biscayne, Florida
  • 4Department of Surgery, Florida International University, Miami
JAMA Surg. 2019;154(1):63-64. doi:10.1001/jamasurg.2018.3757

Krastev and colleagues1 should be commended for their carefully matched cohort study that supports the long-term oncological safety of postmastectomy autologous fat transfer (AFT). It is currently recommended that, before undergoing a mastectomy, patients should have the opportunity to meet with a plastic surgeon to discuss their reconstructive options. Patients are then offered the standard implant-based or tissue flap–based reconstructions. Autologous fat transfer is rarely mentioned.

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