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Primary or Delayed Reconstruction
•
Primary
•
Increased options for skin
preservation and therefore better
objective cosmesis
•
Reduced psychological trauma from
disfigurement
•
May delay chemotherapy or
radiotherapy if complications
•
Radiotherapy may spoil result.
Indications may broaden after the
recent EBCTCG data
•
Delayed
•
Minimal risk of delays in other adjuvant
therapies from complications
•
Irradiated tissue may be excised when
reconstructing and healthy tissue used
to recreate breast
•
Limited skin preservation options
•
Loss of the infra mammary fold
•
Period without a breast-may never have
reconstruction or face long delays as no
longer urgent