Current status of breast reconstruction after mastectomy

Breast reconstruction after mastectomy can make an important contribution to the quality of life of women with breast cancer. Reconstruction eliminates the need for a cumbersome external prosthesis, allows greater freedom in the selection of clothing styles, and makes a woman more comfortable undressing in front of others. Reconstruction also reduces anxiety and depression and helps a woman regain a sense of wholeness and femininity. Advances in breast reconstruction include improved types of implants, use of autogenous tissues, and refinements in nipple reconstruction. This article summarizes the "state of the art" in breast reconstruction, the various surgical techniques available, their indications, advantages, and potential drawbacks.