Plastic surgeons have been performing operations to improve the aesthetic aspect of the breast for centuries. Throughout ancient times, great controversy produced many theories of how breast cancer occurred and the best treatment. Because of beliefs that closure of mastectomy sites could conceal tumor recurrence, breast reconstruction did not gain wide acceptance until the mid-1900s. Today, plastic surgeons have a variety of techniques to reconstruct the breast. The first autologous muscle flap for breast reconstruction was the latissimus dorsi myocutaneous flap, described in 1896 by Iginio Tansini. The introduction of Carl Hartrampf’s transverse rectus abdominis myocutaneous flap and Robert J. Allen’s deep inferior epigastric perforator flap have also provided excellent reconstructive options. With regard to augmentation, Vincenz Czerny attempted to enhance a woman’s breast in 1895 with implantation of a lumbar lipoma. Soon after, surgeons used paraffin injections and polyvinylic alcohol sponge implantation, which yielded disastrous results. In 1961, Thomas Cronin and Frank Gerow promoted the first silicone implant, paving the way for today’s silicone and saline prototypes. Although reduction mammaplasty techniques had originated centuries earlier than mastopexy methods, the advancements of both have largely paralleled one another. In 1949, the Wise pattern was introduced to preoperatively plan safer and predictable outcomes in breast reductions. Efforts to minimize scars were achieved with Claude Lassus’ introduction and Madeleine Lejour’s subsequent modification of the vertical scar mammaplasty. In hopes of fostering an understanding of current post-mastectomy procedures and instilling passion for innovating future techniques, we provide a near-complete, surgically focused historical account of the primary contributors to breast reconstruction.
Breast Reconstruction Myocutaneous Flap Free Tissue Transfer Reduction Mammaplasty Latissimus Dorsi Flap
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The authors are grateful to the staff of the Cushing/Whitney Medical Library at Yale University for providing access to several obscure references. Online translating programs such as Reverso and Babylon 9 were used for the purposes of this manuscript.
Conflicts of interest
None of the authors have any conflicts of interest to disclose.
Breasted J (1930) The Edwin Smith surgical papyrus. The University of Chicago Press, ChicagoGoogle Scholar
Bryan PW (1930) The Papyrus Ebers. Geoffrey Bles, LondonGoogle Scholar
Ariel I (1987) Breast cancer, a historical review: is the past prologue? McGraw-Hill, New YorkGoogle Scholar
Robbins G (1984) Clio chirurgica: the breast. Silvergirl, AustinGoogle Scholar
Halsted WS (1894) I. The results of operations for the cure of cancer of the breast performed at the Johns Hopkins Hospital from June, 1889 to January, 1894. Ann Surg 20:497–555PubMedCrossRefGoogle Scholar
Tajima T (2000) History of breast cancer surgery and its perspectives [in Japanese]. Nippon Geka Gakkai Zasshi 101:833–839PubMedGoogle Scholar
Teimourian B, Adham MN (1983) Louis Ombredanne and the origin of muscle flap use for immediate breast mound reconstruction. Plast Reconstr Surg 72:905–910PubMedCrossRefGoogle Scholar
De Cholnoky T (1963) Late adverse results following breast reconstructions. Plast Reconstr Surg 31:445–452CrossRefGoogle Scholar
Patey DH, Dyson WH (1948) The prognosis of carcinoma of the breast in relation to the type of operation performed. Br J Cancer 2:7–13PubMedCrossRefGoogle Scholar
Fisher B, Anderson S, Bryant J et al (2002) Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 347:1233–1241PubMedCrossRefGoogle Scholar
Veronesi U, Cascinelli N, Mariani L et al (2002) Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 347:1227–1232PubMedCrossRefGoogle Scholar
Toth BA, Lappert P (1991) Modified skin incisions for mastectomy: the need for plastic surgical input in preoperative planning. Plast Reconstr Surg 87:1048–1053PubMedCrossRefGoogle Scholar
Hait P (1994) History of the American Society of Plastic and Reconstructive Surgeons, Inc. 1931–1994. Plast Reconstr Surg 94:1A–109APubMedCrossRefGoogle Scholar
Tansini I (1896) Nuovo processo per l’amputazione della mammaella per cancre. Reforma Med 12:3Google Scholar
Ombredanne L (1906) Restauration autoplastique du sein après amputation totale. Trb Med 4:325Google Scholar
Ombrédanne L (1924) Titres et travaux scientifiques. Masson, ParisGoogle Scholar
Kleinschmidt O (1924) Uber mamma-plastik. Zbl Chir 51:488Google Scholar
Hartrampf CR Jr, Noel RT, Drazan L et al (1994) Ruben’s fat pad for breast reconstruction: a peri-iliac soft-tissue free flap. Plast Reconstr Surg 93:402–407PubMedCrossRefGoogle Scholar
Taylor GI, Townsend P, Corlett R (1979) Superiority of the deep circumflex iliac vessels as the supply for free groin flaps. Clinical work. Plast Reconstr Surg 64:745–759PubMedCrossRefGoogle Scholar
Holmstrom H (1979) The free abdominoplasty flap and its use in breast reconstruction. An experimental study and clinical case report. Scand J Plast Reconstr Surg 13:423–427PubMedCrossRefGoogle Scholar
Allen RJ, Treece P (1994) Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg 32:32–38PubMedCrossRefGoogle Scholar
Hartrampf CR, Scheflan M, Black PW (1982) Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg 69:216–225PubMedCrossRefGoogle Scholar
Grotting JC, Urist MM, Maddox WA et al (1989) Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction. Plast Reconstr Surg 83:828–841 Discussion 842–844PubMedCrossRefGoogle Scholar
Taylor GI, Corlett R, Boyd JB (1983) The extended deep inferior epigastric flap: a clinical technique. Plast Reconstr Surg 72:751–765PubMedCrossRefGoogle Scholar
Koshima I, Soeda S (1989) Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg 42:645–648PubMedCrossRefGoogle Scholar
Koshima I, Moriguchi T, Soeda S et al (1992) Free thin paraumbilical perforator-based flaps. Ann Plast Surg 29:12–17PubMedCrossRefGoogle Scholar
Daniel RK, Taylor GI (1973) Distant transfer of an island flap by microvascular anastomoses. A clinical technique. Plast Reconstr Surg 52:111–117PubMedCrossRefGoogle Scholar
Fujino T, Harashina T, Enomoto K (1976) Primary breast reconstruction after a standard radical mastectomy by a free flap transfer. Case report. Plast Reconstr Surg 58:371–374PubMedCrossRefGoogle Scholar
Wei FC, Suominen S, Cheng MH et al (2002) Anterolateral thigh flap for postmastectomy breast reconstruction. Plast Reconstr Surg 110:82–88PubMedCrossRefGoogle Scholar
Smith AR, Garrison JL, Greene WB et al (1999) The clinical, histologic, and ultrastructural presentation of polyvinyl sponge (Ivalon) breast prostheses removed for massive fluid accumulation. Plast Reconstr Surg 103:1970–1974PubMedCrossRefGoogle Scholar
Georgiade NG, Georgiade GS, Riefkohl R (1990) Aesthetic surgery of the breast. W. B. Saunders Company, PhiladelphiaGoogle Scholar
Czerny V (1895) Plastischer ersatz der brustdruse durch ein lipom. Zentralbl Chir 27:72Google Scholar