Breast cancer presents the first in incidence rate in women, so it should always be carried out to an early diagnosis allows for a less aggressive treatment. This has evolved dramatically becoming the best results in terms of survival, so that the reconstruction is becoming more of a necessity and a challenge for plastic surgery.

Mastectomy: Types

Lumpectomy: removal of the tumor
Quadrantectomy: resection of the breast quadrant where the tumor
Subcutaneous mastectomy: removal of the gland
Mastectomy simple: resection of the prostate and skin around the areola, is called also modified radical mastectomy.
Radical mastectomy is also withdrawn the pectoral muscle.

The treatment of breast disease sequelae which are, in summary:

No gland, dystrophy, atrophy.
Loss of skin, areola and nipple removed, extensive scar transverse, oblique or vertical.
Depression armpit level resulting from the removal of pectoral muscle, skin sticks to the ribs.
Lymphedema of the arm for axillary dissection.
Radiation dermatitis, skin necrosis due to radiotherapy

Breast reconstruction aims to create a new volume, and if necessary, areola, nipple or correct the depression in the armpit.

Methods of breast reconstruction:
1. Prosthesis
2. Expansion + prosthesis
3. Local tissues: abdominal stretch upward, contralateral (opposite)
4. Musculo-cutaneous flap: rectus abdominis or latissimus dorsi
Methods of reconstruction of the areola:
1. Contralateral
2. Inner thigh
3. Tattoo
Nipple reconstruction methods:
1. Lifting the skin of the areola, local flap
2. Dermal graft, lip mucosa over the vulva.