RECENT ADVANCES IN BREAST RECONSTRUCTION AFTER MASTECTOMY

Abstract

Breast reconstruction after mastectomy is considered an important part of breast cancer overall treatment to restore the patient`s psychological and physical well-being. In the last 30 years, breast reconstruction has progressed from a rarely requested procedure to an integral part of patient management. Experience over time has also shown breast reconstruction to be an oncologically safe component of the overall treatment plan. Perhaps most importantly, breast reconstruction yields psychological benefits for women, offering a sense of normality, a “return to wholeness” and a way to leave the cancer experience behind them Breast reconstruction requires a multidisciplinary team which include general surgeon, plastic surgeon, medical oncologist and radiation oncologist. The reconstructive surgeon provides valuable input on the appropriate timing and techniques for reconstruction. Factors that need consideration prior to embarking upon a reconstruction include cancer stage, patient comorbidities, possible adjuvant radiotherapy, availability of autologous tissue, and most importantly, the patient’s own desires.