Letter Ahead of print
PubMed: 42838989 DOI: 10.1007/s00266-026-06311-2
Response to Letter to the Editor Regarding "Prepectoral Breast Reconstruction with Polyurethane-Coated Implants: A 117-Patient Single-Center Study with Objective Cosmetic Evaluation".
Aesthetic Plast Surg
Authors: Sevgi Kurt, Isil Akgun Demir, Naci Celik, Memet Yazar, Enver Ozkurt, Ertan Koc, Tomris Duymaz, Vahit Ozmen
Affiliations
- Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul Atlas University, Istanbul, Turkey.
- Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul Atlas University, Istanbul, Turkey.
- Department of Histology and Embryology (PhD Candidate), Medipol University, Istanbul, Turkey.
- Department of Plastic, Reconstructive and Aesthetic Surgery, Uskudar University, Istanbul, Turkey.
- Department of General Surgery, Istanbul Florence Nightingale Hospital, Istanbul, Turkey.
- Academy of Statistics (Private Practice), Istanbul, Turkey.
- Department of Physiotherapy, Istanbul Bilgi University, Istanbul, Turkey.
Abstract
We thank Ali for the thoughtful comments regarding our study. We clarify that the study was designed to evaluate polyurethane-coated implants in a real-world prepectoral reconstruction cohort rather than predefined subgroups. Variables highlighted in the Letter were included in the statistical analyses and were not independently associated with complications. We also believe that a substantial learning-curve effect is unlikely because both surgeons had extensive prior experience before initiation of the study cohort. We agree that larger prospective multicenter studies are warranted.Level of Evidence V This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
MeSH
Polyurethanes, Surgery, Plastic, Mammaplasty, Breast, Esthetics