CONCLUSION: XRT adversely impacts long-term postoperative breast satisfaction and physical well-being of the chest. This data can improve preoperative counseling for modality decision making, informed consent, and expectation management in patients undergoing breast reconstruction in the setting of XRT. PURPOSE: Textured TEs (TTEs) were initially introduced to limit expander migration and reduce capsule formation, which are inherent to traditional smooth expanders. Recently, the addition of

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... on expander devices to reduce migration along with increasing concerns associated with textured implants and anaplastic large cell lymphoma (ALCL), has led to increased consideration of smooth TEs (STEs) in breast reconstruction. STEs reduce the theoretical risk of ALCL and migration can be addressed by fixation of suture tabs on the tissue expander to the chest wall. A comparative analysis of the outcomes of smooth and textured expanders is needed to ensure safety and equivalency. The aim of our study is to evaluate the early post-operative complications of smooth versus textured TEs. PURPOSE: Health care disparities have been reported throughout medicine for decades. While blatant explicit bias is not prevalent, a substantial body of research has been published suggesting that systemic biases related to sex, race,