ABSTRACT
Reconstruction of the breast demands accurate and thoughtful replacement of breast tissue by careful selection of volume provision combined with appropriate skin cover. Reconstruction demands symmetry of the breast mound, accuracy of contour, softness of feel and permanence of result. Reconstructive procedures must be reliable and planned with care and confidence such that any morbidity at the donor site is acceptable. These demands coupled with other factors including increased patient expectations, disappointing results with implant-only techniques and an unfounded fear of silicone use have, in recent years, encouraged the development of autologous methods of breast reconstruction.
