Overview of perforator imaging and flap perfusion technologies

Breast reconstruction has become an important consideration for women after mastectomy. Over the past decade, there have been a variety of technological advancements that have facilitated the ability to deliver reproducible and predictable outcomes with autologous breast reconstruction. This article chronicles many of the technological advancements and reviews the current toolbox that surgeons now have at their disposal when performing autologous reconstruction. It focuses on preoperative, intraoperative, and postoperative tools that have enabled the achievement of more reliable and predictable outcomes, especially in the setting of microvascular breast reconstruction.