title: Reconstruction of the breast after mastectomy.
abstract: We have described our techniques for reconstruction of the breast after a simple mastectomy, a modified radical mastectomy, and a radical mastectomy. Inadequate skin cover must be relieved, preferably by transposition of a thoracoepigastric flap. Not only must a mound be created, but also a nipple-areola complex. The areola can be constructed by nipple-sharing techniques from the opposite breast or by the use of the labia minora and/or the labia majora. However, we advise preservation and banking of the nipple-areola (or areola) by the ablative surgeon, when possible. The remaining breast usually requires some modification to match the reconstructed one.
mesh_terms: D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D008875:Middle Aged; D009558:Nipples / Q000601:surgery / Q000637:transplantation; D012825:Silicon; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000009:adverse effects / Q000379:methods*; D014182:Transplantation, Autologous
chemical_list: D012825:Silicon