Breast Reconstruction Options: Prosthetic and Autologous

There are two main options for breast reconstruction: prosthetic and autologous. Prosthetic reconstruction involves using implants, which can be silicone or saline. Silicone implants feel more natural but carry a risk of rupture, while saline implants can be easily detected if they rupture. Autologous reconstruction uses the patient's own tissue, often from the abdomen, to create a new breast. This can be done through procedures like the TRAM flap or the DIEP flap, where the tissue is taken along with the blood supply. Another option is the latissimus flap, which uses muscle and skin from the back. Fat grafting can be used in both types of reconstruction to improve contour and texture. The choice between prosthetic and autologous reconstruction depends on factors like the patient's preference, available tissue, and the oncologic situation. It's important for surgeons to discuss the pros and cons of each option with their patients to make an informed decision.