Autologous flap breast reconstruction: Surgical algorithm and patient selection.

Area of Science:

• Plastic Surgery
• Surgical Oncology
• Reconstructive Surgery

Background:

• Whole breast reconstruction using autologous tissue is widely considered the gold standard.
• This method utilizes the patient's own skin and fat for a natural, long-lasting result.
• It avoids the need for foreign materials, reducing potential complications.

Purpose of the Study:

• To review the diverse options available for autologous breast reconstruction.
• To present an algorithmic approach for selecting the most suitable flap and patient.
• To guide surgeons in decision-making for optimal reconstruction outcomes.

Main Methods:

• Comprehensive review of current autologous breast reconstruction techniques.
• Discussion of factors influencing flap selection, including surgeon expertise and available resources.
• Presentation of a structured decision-making algorithm.

Main Results:

• Multiple autologous flap options exist for breast reconstruction.
• Flap choice depends on surgeon's experience, microsurgical skills, and institutional setting.
• An algorithmic approach aids in patient and flap selection.

Conclusions:

• Autologous breast reconstruction offers significant advantages for patients.
• Tailored selection of flaps and patients is crucial for successful outcomes.
• The presented algorithm can assist surgeons in optimizing reconstructive choices.