Recent breast cancer treatment emphasizes not only radical cure aspects and esthetic outcomes, but also the subsequent quality of life（QOL）. Therefore, in oncoplastic breast surgery, numerous non-surgical and surgical techniques are continuously investigated in consideration of the patient’s age and lifestyle. Reconstruction of the nipple-areola complex（NAC）plays an important role in the QOL of post-breast cancer surgery patients, and although it is not essential for life, there should be multiple options for patients depending on their individual thoughts and lifestyle. In this study, we attempted NAC reconstruction using a transfer sticker. Although the reconstruction method differed depending on the patient’s age, lifestyle, and thoughts on NAC reconstruction, patients were highly satisfied with NAC reconstruction using this method. This method is expected to further diversify the options for NAC reconstruction in post-breast cancer surgery patients.

　In recent years, an increasing number of patients with breast cancer are being offered immediate breast reconstruction using implants. Between 1999 and 2018 at our institution, 781 patients underwent immediate breast reconstruction using implants after mastectomy. Among them chest wall was identified as the first recurrence site in seven (0.9%) . Six patients were diagnosed with only loco-regional recurrence, and synchronous distant metastases were identified in one patient. All six patients with only loco-regional recurrence were able to undergo complete surgical resection, and the original implant was successfully preserved in four. The patient with distant metastases was treated by systemic therapy without surgical resection. Our study suggests that breast reconstruction with an implant does not increase the loco-regional recurrence rate and is a safe option that enables necessary treatment at the time of loco-regional recurrence.