Psychological response to breast reconstruction. Expectations for and impact on postmastectomy functioning.

Breast reconstruction is being considered by increasing numbers of breast cancer patients. Recent controversy over the relative risk to benefit of breast implants suggests a need for more information about who seeks reconstruction, why, and its impact on postmastectomy functioning. Eighty-three women undergoing reconstructive surgery were assessed with respect to surgical and psychological status. Evaluations were made at the time of consultation for breast reconstruction and repeated 2 months or more postsurgery. Findings highlight the overwhelmingly positive effects of postmastectomy breast reconstruction and provide information useful to those counseling or following breast cancer patients who pursue this option.