[Decision algorithm in immediate breast reconstruction]

Abstract

Immediate breast reconstruction showed many advantages in terms of aesthetic and functional results and improvement of quality of life when compared to delayed breast reconstruction. Previous radiotherapy or the use of adjuvant treatments such as radiation therapy, or chemotherapy are no longer a contraindication for immediate breast reconstruction. However, it is important to respect certain rules in order to decrease the risk of complications: the choice of reconstruction technique, the management of the skin envelope according to the breast shape you want to create, the time delay between the first and the second stage of reconstruction depending on a possible adjuvant treatment.

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.