 The advantages of a pre-pectral breast reconstruction are that a patient can have their breast reconstructed immediately, oftentimes in one or up to two operations, so they can wake up from their surgery with a breast already reconstructed. Instead of putting the implant underneath the muscle, we put the implant over the muscle. By doing that, we don't have to actually divide or elevate the pectoralis muscle, the central muscle in the chest. The majority of our patients who undergo pre-pectral breast reconstruction will have their mastectomy and reconstruction done the same day. There's a limited amount of downtime, and patients can get back to work in a relatively short period of time. I had a 60-year-old, very fit, very healthy patient who came to me shocked to be diagnosed with breast cancer. She told me in the initial consultation that she wanted a reconstruction, but she wanted to limit the amount of time that she was out of work. She said, I'm in my prime, I'm doing all the things I love to do, I have my family around me, I don't want to spend a lot of time away from them. And I thought that she'd be a perfect candidate for a implant-based pre-pectral reconstruction. In a three-and-a-half-hour operation, she woke up with a breast that looked almost exactly like her other breast. She went home the same day, taking nothing but Tylenol and ibuprofen for pain. I still see her once a year in the office, and every time I see her, she tells me how happy she is to look in the mirror and have no visible reminder of her cancer diagnosis. It's pretty incredible.