Effect of Operative Plane on Anesthetic Requirements in Tissue Expander Breast Reconstruction Patients

We found that patients with prepectoral tissue expanders undergoing exchange to permanent implants have decreased perioperative requirements of pain and antiemetic medications. Although the operative plane of choice in breast reconstruction is a multifaceted decision, we demonstrate that the prepectoral plane results in decreased pain medication burden in the perioperative period. Our study is the first to quantify these differences, allowing evidence-based decisions for patients and physicians.