**8. Autologous breast reconstruction (AR)**

The premise in AR is utilizing tissue such as skin, fat, and sometimes muscle from another place on the patient's body in order to create a breast mound. AR can be performed in immediate or delayed fashion as well [35]. Many different types of flaps have been described in the literature for restoration of breast mound using patients

#### **Figure 7.**

*Top: 39 year female diagnosed with left breast cancer. Bottom: after Left NSM and reconstruction with abdominal based flap.*

#### **Figure 8.**

*49 year old female with history of right breast cancer. Patient underwent autologous reconstruction with abdominal based flap. Left: right breast reconstruction with DIEP (deep inferior epigastric perforator) flap. Right: same patient after nipple reconstruction.*

#### **Figure 9.**

*Left: 38 years old female diagnosed with invasive right breast cancer. Right: same patient after right NSM and reconstruction with TUG (transverse upper gracilis) flap.*

#### **Figure 10.**

*Patient with history of bilateral breast cancer, right invasive ductal and left lobular in situ. She is shown after bilateral SSM and immediate reconstruction with bilateral LD (latissimus Dorsi) flaps. Delayed tattooing nipple reconstruction.*

#### *Breast Reconstructive Options DOI: http://dx.doi.org/10.5772/intechopen.108945*

own body tissues [36]. Some are abdominal based flaps (TRAM, DIEP, SIEA), others are gluteal based flaps (SGAP, IGAP), there are thigh based flaps (PAP, TUG) and back based flaps (LD, TDAP) [37]. Most of these flaps require a microsurgeon who is well versed in microsurgical techniques, the availability of a microscope, a well-trained surgical team in microsurgery, and a facility that can support these types of complex and delicate operations. The advantages of BR using these flaps are natural appearing results, esthetically pleasing outcome, and improved patient satisfaction [38]. The disadvantages are the need for a skilled microsurgeon, long procedure time, longer recovery period, extra scarring in the donor sites, and increased pain. **Figures 7**–**10** show examples of Autologous Breast reconstruction.
