**5.5 Nipple-areola complex reconstruction**

The various technique described for nipple reconstruction includes nipple sharing, various local flaps like skate flaps, dermal fat flap, and star flap, etc. described by various authors along with autologous cartilage graft or implant-based prosthesis. For the areola, a graft from the opposite areola, labia majora, or tattooing is preferred [10].

## **5.6 Management of contra-lateral breast for bilateral symmetry**

In level II oncoplastic breast surgery where there is 20–50% excision of breast parenchymal tissue and the resultant defect cannot be reconstructed with either

tissue displacement or replacement technique (flap) with symmetry to other breast; such cases require reduction mammoplasty for contralateral breast. Breast reduction to bring symmetry to both breasts can be done immediately at the time of oncoplastic breast surgery or after completion of chemo-radiation. However, if patients do not want to undergo any procedures on the normal side, a small volume of fat can be injected on the reconstructed side to bring symmetry to some extent [11].

## **6. Conclusion**

Breast reconstruction is a challenging task with a number of options available for reconstruction. Each option should be brief to the patients with its pros and cons and should be chosen based on defect size, the types of mastectomy, availability of donor site, symmetry with opposite breast, patient's medical history and surgeon's skill (**Algorithm 1**).

Algorithm 1. Algorithm of breast reconstruction.

*Flaps for Breast Reconstruction DOI: http://dx.doi.org/10.5772/intechopen.114019*
