
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?
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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