With reconstruction at the time of a mastectomy, is necrosis more or less likely to occur?
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Expert AnswersJeffAschermanMD (Physician - Surgery - Plastic (Verified) ) - 02 / 12 / 2012
There are different types of necrosis. Necrosis of the remaining breast skin is probably more likely to occur at the time of mastectomy than with delayed reconstructions, but even with immediate reconstructions this is usually not a problem. With regard to a flap used for breast reconstruction, I do not think there is a big difference in flap necrosis rates with immediate versus delayed reconstructions.
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