Autologous breast
reconstruction

A natural breast reconstruction without an implant, where the breast shape is restored using the body’s own skin and fatty tissue.

What is autologous breast reconstruction?

In autologous breast reconstruction, the breast shape is restored using skin and fat from the patient’s own body.

Unlike reconstruction with an implant, no prosthesis is used here. The volume consists of the body’s own tissue, which often makes the breast feel softer and more natural.

This technique can be applied after a mastectomy, after breast-conserving surgery with loss of volume, after radiation, or in case of problems with a previous implant reconstruction.

The most suitable technique depends on your medical history, physique, previous treatments, and personal preference.

For whom?

When can autologous tissue be an option?

01.

After mastectomy

When the breast has been completely removed, a new breast can be reconstructed using skin and fat from the patient’s own body.

02.

After breast-conserving surgery

When a visible volume deficit or change in shape occurs after a lumpectomy, local tissue can be used to restore the breast shape.

03.

After radiotherapy

Radiation can make the skin and tissues less supple. Autologous tissue can then enable a more stable and natural reconstruction.

04.

In case of problems with implants

In cases of capsular contracture, pain, hardening, or a disappointing result, an implant can sometimes be replaced by a reconstruction using autologous tissue.

OVERVIEW

What forms are there?

Autologous breast reconstruction can be performed in several ways. This page provides a brief overview. The separate detail pages explain each technique further.

Total breast reconstruction

After a mastectomy, a completely new breast is reconstructed using autologous tissue. Often, tissue from the lower abdomen is used via a DIEP flap. If the abdomen is not suitable, alternatives such as SGAP, PAP, or lumbar flaps can be discussed. Read more

Partial breast reconstruction

After breast-conserving surgery, a local volume deficit or shape deformity can sometimes occur. In that case, a partial reconstruction, for example with a TDAP flap from the lateral back, can help restore the breast shape. Read more

Nipple reconstruction

Once the breast shape is stable, the nipple and areola can also be restored in a later phase. This often represents the final step of the reconstruction process. Read more

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