Reversed reconstruction in subcutaneous mastectomy: insertion of the prosthesis in advance.

A new approach to reconstruction in subcutaneous mastectomy has been presented. It involves insertion of the prosthesis in advance as the first stage. After a review of 22 consecutive cases of subcutaneous mastectomy, we are convinced that it is the method of choice. In our opinion, most of the complications following subcutaneous mastectomy with augmentation can be diminished by using this technique. Another outstanding advantage is that the patient has less psychological trauma.