[Immediate reconstruction after radical mastectomy using Becker's prosthesis: long-term results]

The authors present their experience about 36 immediate breast reconstruction after radical mastectomy by Becker's prostheses, concerning early and delayed postoperative complications, cosmetic results and patients satisfaction. The indication to reconstruction has been proposed considering stage disease, breast features (volume, skin flaps, symmetry with the other breast). The postoperative mortality was none; overall incidence of early complications was 11% and in two cases has obliged to implant removal. Mean follow-up has been 31 months: a severe contracture (Baker IV) has been observed in 2 patients which obliged to implants removal 90% of the patients (20 cases) had no contracture (Baker I) whereas 2 patients presented a Baker II contracture. The majority of the patients declared their complete satisfaction. Finally the authors suggest an immediate breast reconstruction after radical mastectomy because this procedure has a low incidence of complications and contracture and it can be surely done by a general surgeon.