Immediate breast reconstruction indications extend to infiltrating carcinomas, due to new matrix implant coverage techniques and the development of perforator flaps. These techniques allow adjuvant treatments. However, the decision of immediate reconstruction must be discussed with the oncological multidisciplinary team and the benefits/risks must also be evaluated in relation to the morphology of the patients and their co-morbidities. The chosen type of mastectomy: conventional or skin sparing and/or nipple sparing depends on the shape and volume of the breast, the localization of the tumor in the breast and the distance from the nipple areola complex (NAC). We describe an algorithm to allow, in the case of therapeutic mastectomy with or without adjuvant radiotherapy, an immediate reconstruction with implants or free or pedicled flaps.
Keywords: Breast implant; Immediate breast reconstruction; Mastectomie avec conservation de l’aréole; Mastectomie avec conservation de l’étui cutané; Mastectomie avec réduction de l’étui cutané; Nipple sparing mastectomy; Prothèse mammaire; Reconstruction mammaire immédiate; Skin reducing mastectomy; Skin sparing mastectomy.
Copyright © 2018. Published by Elsevier Masson SAS.