Breast reconstruction following a mastectomy for carcinoma of the breast.

Reconstruction of the breast after mastectomy is today totally possible assuming no major medical contraindications. Contemporary surgical and technical refinements no longer allow as adequate creation of a chest mound that must be covered by conservative clothing. Instead, the usual result of a completed reconstructive effort should be viewed as most normal, aesthetic, and pleasing by the patient, the reconstructive surgeon, and the impartial family physician. It is perhaps not too bold to state that there is practically no mastectomy circumstance that does not lend itself to a reconstructive effort where highly acceptable results can be expected. The surgical techniques are widely available in almost every community. The most important component of the reconstructive effort, however, is the careful selection of procedures for the individual patient. This is accomplished only after thorough assessment and open discussions to educate the patient about the realistic available alternatives.