ePlasty: Vol. 12
A Simple Algorithm for Immediate Postmastectomy Reconstruction of the Small Breast—A Single Surgeon's 10-Year Experience
Magelia Kitcat, MRCS,a Alexandra Molina, MRCS,a Charlotte Meldon, BA (Hons),b Nagham Darhouse, MRCS,a Jon Clibbon, FRCS (Plast),a,c and Charles M. Malata, FRCS(Plast)a,d

aDepartment of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom; bSchool of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom; cNorfolk & Norwich University Hospital, Norwich, United Kingdom; and dCambridge Breast Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.


Correspondence: cmalata@hotmail.com

Introduction: Immediate small breast reconstruction poses challenges including limited potential donor site tissues, a thinner skin envelope, and limited implant choice. Few patients are suitable for autologous reconstruction while contralateral symmetrization surgery that often offsets the problem of obvious asymmetry in thin and small-breasted patients is often unavailable, too expensive, or declined by the patient. Methods: We reviewed 42 consecutive patients with mastectomy weights of 350 g or less (the lowest quartile of all reconstructions .......