THE RECONSTRUCTION OF THE BREAST AFTER MAMMECTOMY OR AMPUTATION OF THE MAMMARY-GLAND

The authors give their personal experience at Montreuil Hospital. Always it's secondary reconstruction, never immediatly Three problems: The restauration of the mammary gland Its can do: by musculo skin flaps or skin expanders. The restauration of the areolar and the nipple Many techniques are used: tattooing or, free skin graft controlateral. The attitude about the controlateral 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 reduct the scars. The periareolar technique is the best.