How long should patients wait before undergoing reconstruction following PMRT?  

Our approach is to wait for 6 months, which is based on the preference of plastic surgeons. There is published data showing a higher risk of complications if done sooner than 6 months and this forms the rationale for that wait.

My answer would vary depending on the type of reconstruction.  If an immediate reconstruction- either implant based or autologous- is not done, delayed autologous reconstruction may be the only option, since irradiated tissue is generally difficult to expand. In the setting ...