[Mastectomy and primary breast reconstruction]

Primary breast reconstruction after mastectomy may be proposed individually after careful consultation of the patient. Whereas postoperative chemotherapy or hormone therapy are not contraindications, radiotherapy is a relative contraindication. Methods include the submuscular silicone implant (+/- expansion), mobilisation of the abdominal skin or flap reconstruction (thoracoepigastric or latissimus flap). The indications, pros and cons, are discussed. Mastectomy and primary reconstruction are good alternatives to the so-called conservative treatment with irradiation.