For appropriate patients, who are aware of and accept the risks involv
ed, contralateral prophylactic mastectomy and bilateral reconstruction
can provide a good solution to an otherwise difficult problem. Bilate
ral reconstruction can produce exceptionally good aesthetic results an
d, because good symmetry is achieved in the initial surgery, it only c
osts about 5% more than unilateral reconstruction. This article discus
ses the techniques, advantages, and disadvantages of bilateral reconst
ruction.