ABSTRACT
There are few absolute contraindications to breast reconstruction per se, but for individual types of reconstruction specific contraindications may apply. Careful selection of patients for reconstruction and the choice of method is crucial to outcome. Not all patients are suitable for reconstruction and some elect for mastectomy only with the option of delayed reconstruction. Despite detailed explanation of the procedures involved, not all patients accept the offer of reconstruction and of those who opt for a delayed procedure, a proportion will subsequently decline further surgery.1,2 In addition to patient choice, compliance is important and patients must be aware of the short-term restrictions and inconvenience of more complex reconstructive surgery that demand time for healing of wounds. In recent years there has been a trend towards liberalization of selection criteria for reconstruction, particularly in relation to stage of disease. Reconstruction can justifiably be undertaken for psychological palliation with acceptable levels of risk and age alone should not preclude consideration of reconstructive options. However, age together with general health will influence the appropriateness of any method selected.3
