A Simple Algorithm for Immediate Postmastectomy Reconstruction of the Small Breast-A Single Surgeon's 10-Year Experience.

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).