Letter in Reply to Comment on: "Pocket Conversion from Prepectoral to Retropectoral Implant Placement in Breast Reconstruction: A Cost-effective Solution for High-Grade Rippling and Implant Visibility".

Posterior capsule reuse during conversion from prepectoral-to-retropectoral breast reconstruction provides reliable inferior muscular stabilization and implant coverage. In selected patients with high-grade rippling or contour deformity, this technique represents a safe, reproducible, and cost-effective alternative to biologic matrices, preserving pocket stability and natural breast contour.Level of Evidence V This journal requires that authors assign a level of evidence to each article. 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 .