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Breast Reconstruction in the Setting of Surgical Prevention for Breast Cancer

  • Risk and Prevention (ME Wood, Section Editor)
  • Published:
Current Breast Cancer Reports Aims and scope Submit manuscript

Abstract

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.

Recent Findings

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.

Summary

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.

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Authors and Affiliations

  1. Division of Plastic Surgery, The University of Vermont Medical Center, 354 Mountain View Drive, Colchester, VT, 05446, USA

    Candice M. Leach & Meredith S. Collins

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  1. Candice M. Leach
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  2. Meredith S. Collins
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Correspondence to Meredith S. Collins.

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Candice M. Leach and Meredith S. Collins declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Risk and Prevention

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Leach, C.M., Collins, M.S. Breast Reconstruction in the Setting of Surgical Prevention for Breast Cancer. Curr Breast Cancer Rep 10, 219–225 (2018). https://doi.org/10.1007/s12609-018-0283-x

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