Breast reconstruction rates have increased steadily in Germany from 2012 to 2021.

38 % of mastectomy patients received breast reconstruction.

The majority of breast reconstructions are performed in departments of gynecology.

Implant-based breast reconstructions have increased significantly by almost 70 %.

There is a shift towards implant-based reconstruction after mastectomy.

Breast cancer is the most common type of cancer in women and advances in treatment have shifted the focus towards improving quality of life. Breast reconstruction plays a crucial role in preserving body image for patients undergoing mastectomy. However, significant variations exist in breast reconstruction choices across different countries. Understanding national trends can help optimize patient-centered care.

Using data from quality reports, we analyzed breast reconstruction trends in Germany from 2012 to 2021. The study examined overall reconstruction rates, the distribution of reconstruction methods (implant-based vs. autologous), and differences between surgical departments.

Breast reconstruction rates in Germany have steadily increased, with up to 38 % of mastectomy patients undergoing reconstruction. The number of implant-based reconstructions rose significantly by nearly 70 % during this period. Most reconstructions were performed in gynecology departments, where the highest increase in implant-based procedures was observed.

The reasons for the shift towards implant-based reconstruction are speculative. The increase in contralateral prophylactic mastectomies, the lack of collaboration with plastic surgery departments and the complexity of autologous breast reconstruction could all be plausible explanations for this observation. Further analysis and critical evaluation of current trends are essential to ensure an individualized, patient-centered approach to breast reconstruction surgery.

Breast reconstruction

Autologous breast reconstruction

Implant-based breast reconstruction

Skin-sparing mastectomy

© 2025 The Authors. Published by Elsevier Ltd.