[Breast reconstruction after mastectomy or breast amputation].

The authors give their personal experience at Montreuil Hospital. Always it's secondary reconstruction, never immediately Three problems: The restoration of the mammary gland. Its can d: by musculo skin flaps or skin expanders. The restoration of the areolar and the nipple Many techniques are used: tattooing or, free skin graft contralateral. The attitude about the contralateral breast It must take into account: of desire of the patient; of volume of the breast; of existence or not of ptosis. It's very important to reduce the scars. The periareolar technique is the best.