Who is suitable for breast reconstruction With the improvement of medical treatment, different types of breast reconstruction can be chosen according to individual circumstances, regardless of the surgical procedure of mastectomy and whether the breast muscles are preserved or not. Age is not a major factor affecting breast reconstruction. For religious reasons, breast reconstruction has been reported for women as old as 96 years old. Who is not suitable for breast reconstruction Patients who are unwilling to undergo surgery and those who are in poor general condition and cannot tolerate conventional surgery, such as those with progressive or severe systemic diseases (e.g., cardiopulmonary disorders), should not undergo breast reconstruction. Local recurrence or distant metastases are contraindications to breast reconstruction. There are several methods of breast reconstruction There are two main types of breast reconstruction methods: implantation and autologous tissue transplantation. The advantage of breast reconstruction with implants is that it is less invasive and relatively easy to perform the surgery. Since 1992, when the use of silicone gel breast implants was restricted in the United States, autologous tissue grafting for breast reconstruction has become the mainstream, with the lower abdominal tissue flap being the most widely used. It is especially suitable for patients with severe breast tissue loss, excessive abdominal fat, need for plastic surgery and relatively large breasts. For patients who need less tissue, a latissimus dorsi muscle flap can also be used to reconstruct the breast. How to choose the timing of surgery Breast reconstruction can be performed immediately after mastectomy, with the reconstructed breast already completed after awakening from anesthesia, or at any time after surgery. The advantage of immediate breast reconstruction is that the patient needs only one surgery and does not experience the deformity of the missing breast after surgery and suffers less emotional distress. The advantage of post-reconstruction is that the patient has first-hand experience with the breast defect and can make a rational judgment about whether to request breast reconstruction. The disadvantage is that two surgeries are required and the cost is higher than immediate reconstruction. With more research, it has been proven that breast reconstruction at the same time as breast cancer surgery is safe and feasible, and there is no difference in terms of complications, cancer recurrence rate and mortality rate compared to breast cancer surgery alone, therefore, immediate breast reconstruction has shown an increasing trend in recent years.