Breast Reconstruction in the Setting of Surgical Prevention for Breast Cancer
Purpose of Review
Breast reconstruction after prophylactic mastectomy is an important component of the surgical prevention of breast cancer. Women who undergo bilateral prophylactic mastectomy view reconstruction as part of their treatment and the choice to pursue a contralateral mastectomy is influenced by the availability of reconstruction.
There has been increased data available on both medical outcomes and patient-reported outcomes in reconstruction after mastectomy. This review of recent literature includes trends and outcomes with contralateral and bilateral prophylactic mastectomy with reconstruction, discussion of outcomes in implant and autologous tissue-based reconstruction, advancements in pre-pectoral implant placement, and new techniques of simultaneous mastectomy with reconstruction combined with gynecologic risk-reducing surgery.
Choice of reconstruction after prophylactic mastectomy is based on patient factors, availability of specialist services, and patient preference. Informed discussion with patients, plastic surgery, surgical oncology, and gynecology is necessary to determine the best option for each patient.
KeywordsProphylactic mastectomy Breast reconstruction Outcomes Patient satisfaction
Compliance with Ethical Standards
Conflict of Interest
Candice M. Leach and Meredith S. Collins declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
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