**7. Conclusion**

Direct to implant is an excellent reconstructive option for patients who are suitable for immediate reconstruction and wanting to either maintain a similar or smaller breast volume. The use of acellular dermal matrix and synthetic mesh provides good lower pole support for the implant. Development of other adjuncts to assess mastectomy flap perfusion also aids in implant success and reduces rates of failure. Immediate breast reconstruction has noted advantages compared to a delayed approach and the use of implant reconstruction in this setting is dependent on appropriate patient selection and surgical technique.
