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The primary goal of breast reconstruction is to recreate form and symmetry by correcting the anatomic defect while preserving patients' safety and health. Breast reconstruction is performed in several stages: restoration of the breast contour, revisions, and reconstruction of the nipple-areola complex. Many options for breast reconstruction exist, which are typically grouped into alloplastic, autologous and a combination of both. The choice of technique is directed by several factors that include the size and shape of the native breast, the location and type of cancer, the quantity and quality of tissues around the breast and at the other donor sites, the patients' demographic information and whether adjuvant therapy is warranted. Breast mound reconstruction can be performed immediately, at the time of mastectomy, or can be delayed for several weeks or months (Hu & Alderman, 2007).

intech ebooks

Modified Extended Latissimus Dorsi Myocutaneous Flap with Added Vascularised Chest Wall Fat in Immediate Breast Reconstruction after Conservative (Sparing) Mastectomies