Breast Reconstruction After Mastectomy: Autologous or Prosthetic?

Although autologous reconstruction had a higher overall complication rate, patients were more satisfied with their breasts 2 years later.

Many patients still need or desire mastectomy as treatment for (or prophylaxis against) breast cancer, and subsequent breast reconstruction can improve a woman's quality of life and psychological well-being; moreover, this procedure is covered under the law by the Women's Health and Cancer Rights Act of 1998.

Now, investigators report 2-year complication rates in a longitudinal prospective cohort of 2343 participants in the Mastectomy Reconstruction Outcomes Consortium study. About 70% of reconstructions were done with prosthetic expanders and implants, and the remainder with various autologous flap techniques. Overall complication rates were 33% (any complication), 19% (complication requiring reoperation), and 10% (wound infections). Compli…

Reviewing Author

Laila Samiian, MD, FACS

Disclosures

Leadership Positions in Professional SocietiesAssociation of Women Surgeons (Member, Publications Committee)

Laila Samiian, MD, FACS

Disclosures

Leadership Positions in Professional SocietiesAssociation of Women Surgeons (Member, Publications Committee)

Breast Reconstruction After Mastectomy: Autologous or Prosthetic?

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Reviewing Author