The goal of plastic surgeons performing postmastectomy anatomic reconstruction is to create a breast structure that closely matches the shape and appearance of a patient’s native breast. Tattoo artists have helped improve outcomes with nipple-areolar tattooing. Some patients now prefer to have more extensive, nonanatomic designs to help camouflage their scars. Two questions are considered here: What role should plastic surgeons have in supporting or performing nonanatomic reconstruction? And should insurance programs cover nonanatomic breast reconstruction options?
Kozlow, J. H. (2018). What should be the role of plastic surgeons in nonanatomic breast reconstruction, including tattooing? AMA Journal of Ethics, 20(4), 366–371. https://doi.org/10.1001/journalofethics.2018.20.4.msoc1-1804