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Immediate
breast reconstruction takes place at the time of the
mastectomy. Usually the mastectomy can be performed in a
"skin sparing" fashion, another words the skin of the
breast is preserved, and only the underlying breast tissue needs
to be resected with the tumor. The nipple is also usually resected
because the ducts where the cancer cells originate exit at the
nipple. In this type of breast reconstruction the volume of the
breast as well as a small skin patch need to be restored.
In cases where there is a high likelihood
that after the mastectomy the cancer treatment will include radiation,
the reconstruction is usually performed at a later date,. This is
called delayed reconstruction, and the reasoning for this
approach is that the flap, or the tissue used for reconstruction,
can be adversely and unpredictably affected by the radiation. In
this type of breast reconstruction, entire breast skin as well as
the breast volume need to be restored.
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