Shaping the Breast: Optimizing Aesthetics with Reconstructive Breast Surgery

Numerous innovations and advancements have enabled breast reconstruction following mastectomy to deliver aesthetic outcomes that mimic the natural breast. This is true for prosthetic and autologous reconstruction and the result of improved mastectomy techniques, preservation of the recipient and donor site muscles, and the use of fat grafting. Specific to prosthetic reconstruction is the evolution from subpectoral to prepectoral device placement, the use of acellular dermal matrices, and better breast implants. Specific to autologous reconstruction is the use of perforator-based flaps to minimize donor site morbidities.