Breast reconstruction after mastectomy for breast cancer.

early detection and treatment of breast cancer, there have also been improvements in the techniques used for breast reconstruction after mastectomy. There are many reconstructive methods available, using either autologous tissue or implants, each with its unique set of indications, contraindications, advantages, disadvantages and complications (Table 1). Breast reconstruction after mastectomy is oncologically safe and is associated with high satisfaction and improved psychosocial outcomes. Although the rates of major complications after immediate reconstruction (at the same time as mastectomy) are greater than after mastectomy alone, clinically significant delays in the receipt of adjuvant therapy after immediate reconstruction have not been found. Despite the potential psychological benefits of breast reconstruction, few patients who have had a mastectomy undergo breast reconstruction. In this review, we examine rates of breast reconstruction, discuss the factors that influence its use and review the current evidence for incorporating immediate breast reconstruction into the care of patients with early stage breast cancer.