title: Trends and concepts in post-mastectomy breast reconstruction.
abstract: A number of factors have contributed to a paradigm shift in US post-mastectomy breast reconstruction. The increasing numbers of contralateral prophylactic mastectomies strongly correlated to a rise in implant-based reconstructions. Autologous reconstruction, however, has faced a number of barriers including technically complicated perforator flaps and declining reimbursements. As such, a market concentration has developed within high volume microsurgical centers. As more patients receive radiation, the timing and method of reconstruction has become a controversial topic. J. Surg. Oncol. 2016;113:891-894. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Fellow, Memorial Sloan Kettering Cancer Center, New York City, New York.
authors.forename: Hana
authors.initials: H
authors.lastname: Farhangkhoee
authors.affiliation: Attending Surgeon, Memorial Sloan Kettering Cancer Center, New York City, New York.
authors.forename: Evan
authors.initials: E
authors.lastname: Matros
authors.affiliation: Attending Surgeon, Memorial Sloan Kettering Cancer Center, New York City, New York.
authors.forename: Joseph
authors.initials: J
authors.lastname: Disa
mesh_terms: D018427:Breast Implants; D001943:Breast Neoplasms / Q000517:prevention & control; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods / Q000639:trends*; D008408:Mastectomy / Q000379:methods; D011878:Radiotherapy
keywords: breast reconstruction; post-mastectomy; radiation; trends