title: Reconstruction options following breast conservation therapy.
abstract: Women who have had breast conservation therapy for malignancy are candidates for various surgical techniques for immediate or delayed breast reconstruction. These include local tissue rearrangement, therapeutic reduction mammaplasty, and various flap reconstruction procedures. Each technique has advantages and disadvantages, and individual patient factors, particularly breast size and resection defect size, should drive the choice among procedures. Immediate reconstruction (at the time of breast conservation surgery) is preferred over delayed reconstruction, for multiple reasons. Patients tend to be satisfied with the cosmetic outcome of these procedures, but thorough patient counseling and preop-immediate or erative planning is critical to a good result.
authors.affiliation: Department of Plastic Surgery, Cleveland ClinicFoundation, Cleveland, OH 44195, USA. churgis@ccf.org
authors.forename: Samara
authors.initials: S
authors.lastname: Churgin
authors.forename: Raymond
authors.initials: R
authors.lastname: Isakov
authors.forename: Randall
authors.initials: R
authors.lastname: Yetman
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D003376:Counseling; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental; D017060:Patient Satisfaction; D011182:Postoperative Care; D011183:Postoperative Complications; D012307:Risk Factors; D013524:Surgical Flaps