SHAPING THE AUTOLOGOUS BREAST

Autologous breast reconstruction has become increasingly popular in th e past several years as more experience has been gained in the various techniques. Advantages to autologous reconstruction include improved shaping and symmetry, which also allow for a more natural reconstructi on. The transverse rectus abdominis myocutaneous (TRAM) flap (free and pedicled) and latissimus flap are the predominant methods used althou gh many newer donor sites have also been described. This article discu sses techniques that allow the reconstructive surgeon to plan and exec ute the reconstruction of a natural breast reconstruction with autolog ous tissue.