J Reconstr Microsurg 2017; 33(05): 305-311
DOI: 10.1055/s-0037-1599074
Invited Review
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Treatment Options for Bilateral Autologous Breast Reconstruction in Patients with Inadequate Donor-Site Volume

Michael W. Chu
1   Division of Plastic and Reconstructive Surgery, Indiana University School of Medicine, Indianapolis, Indiana
,
Fares Samra
2   Division of Plastic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
,
Suhail K. Kanchwala
2   Division of Plastic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
,
Arash Momeni
3   Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, California
› Author Affiliations
Further Information

Publication History

18 August 2016

07 January 2017

Publication Date:
24 February 2017 (online)

Abstract

More than 250,000 women will be diagnosed with invasive breast cancer in the United States in 2017 alone. A large number of these patients will undergo mastectomy and will be candidates for immediate breast reconstruction. The most common reconstructive options are either implant-based or autologous tissue reconstruction, with the latter having been reported to have higher rates of long-term patient satisfaction, lower cost, and less postoperative pain. A subset of patients, however, may not be ideal candidates for autologous microsurgical reconstruction, for example, due to inadequate abdominal tissues, yet they may desire this reconstructive modality. This is particularly challenging in patients requiring bilateral reconstructions. In this article, the authors discuss the various reconstructive modalities that can be considered in patients who desire bilateral breast reconstruction, are not ideal candidates for autologous reconstruction, yet do not wish to rely solely on implant-based modalities.