Breast Reconstruction

Diagnosis/Definition

Any breast deformity (congenital or acquired).

Examples:

• Surgical absence of breast s/p mastectomy (breast cancer).
• Congenital deformity of the breast.
• Significant breast asymmetry.

Note: Cosmetic surgery of the breast (breast augmentation and/or breast lift) is not currently available. However, reconstruction after mastectomy is available, as is reduction mammoplasty for macromastia (see specific Macromastia guideline).

Initial Diagnosis and Management

Diagnosis: Physical exam of breast.

Management: Referral to Plastic and Reconstructive Surgery.

Ongoing Management and Objectives

Patient evaluation to determine if the patient is a candidate for breast reconstruction.

Indications for Specialty Care Referral

Same as above.

Criteria for Return to Primary Care

After surgery has been performed and the appropriate follow-ups with Plastic Surgery are completed, the patient should be returned to their respective primary care provider.