Bilateral Mastectomy Reconstruction in the Previously Augmented Patient

TO THE EDITOR:I was delighted to read the article by Drs. Spear, Clemens, and Dayan on “Considerations of Previous Augmentation in Subsequent Breast Reconstruction” ( Aesthetic Surg J 2008;28:285–293). This is a particularly timely and relevant article, because we have entered into an era in which a large number of women who have undergone breast augmentation have matured into the age group that has a high percentage of breast cancer. Plastic surgeons are increasingly treating those patients with breast cancer who have been previously augmented.The current article is a retrospective review of the senior author's experience in 32 patients undergoing breast reconstruction subsequent to breast augmentation. They suggest that a higher percentage of breast cancer is detected mammographically in those with subpectoral …