Division of Plastic and Reconstructive Surgery, University of California, San Francisco, 505 Parnassus Avenue, Suite M-593, San Francisco, CA 94143, USA.
Surg Clin North Am. 2018 Aug;98(4):845-857. doi: 10.1016/j.suc.2018.03.011. Epub 2018 May 28.
Breast reconstruction is offered to women undergoing mastectomy or breast conservation, given its safe nature and highly aesthetic reconstructive outcomes. Breast implants are safe, offer flexibility of sizes and projections, and shorter recovery. Autologous flaps allow women to avoid prosthetic devices, using skin and fat to replace breast tissue. The increasing frequency of nipple-sparing mastectomy, autologous fat grafting, use of acellular dermal matrices, and prepectoral prosthetic reconstruction have enhanced aesthetic outcomes. Breast conservation outcomes have been enhanced by immediate oncoplastic breast reconstruction to reduce the risks of contour deformities and breast asymmetry, and maintain excellent, oncologically safe, aesthetic outcomes.
乳房重建术适用于接受乳房切除术或保乳手术的女性，因其具有安全性和高度美观的重建效果。乳房植入物安全、可提供多种尺寸和突出度选择，并且恢复时间较短。自体皮瓣可让女性避免使用假体，使用皮肤和脂肪来替代乳房组织。保留乳头的乳房切除术、自体脂肪移植、使用脱细胞真皮基质和胸肌前假体重建的频率增加，提高了美观效果。即刻整形乳房重建术降低了轮廓畸形和乳房不对称的风险，保持了出色的、肿瘤学上安全的、美观的结果，从而提高了保乳治疗的效果。
