Rebuilding the breast using your own tissue for a natural, lasting result, often with microsurgery.


Autologous reconstruction rebuilds the breast using your own tissue, most often skin and fat taken from the lower abdomen and transferred to the chest. Modern techniques such as a DIEP flap transfer this tissue while sparing the abdominal muscle, reconnecting tiny blood vessels under the microscope.
Because the breast is rebuilt from living tissue, it tends to look and feel natural, settles like natural breast tissue, and ages with you. The trade-off is a longer operation and recovery and a scar at the donor site. This microsurgical work draws directly on Dr. Amoroso's reconstructive background.
It does not restore normal breast sensation, does not recreate a natural nipple in itself, and creates a donor-site scar. It is a larger operation than implant reconstruction.
You will receive individualized instructions and your reconstruction is planned in coordination with your breast and oncology teams. The flap type, donor site, timing, and realistic outcomes are discussed in detail, including recovery from a larger operation.
Tissue is carefully raised from the donor site with its blood vessels, transferred to the chest, and shaped into a breast. For free flaps, the tiny blood vessels are reconnected under the microscope to restore blood supply.
The flap is monitored closely in the first days to ensure a healthy blood supply. Recovery is longer than with implants, involving both the chest and donor site. Activity is reintroduced gradually as healing allows.
A natural-looking, natural-feeling, and durable breast reconstruction is achievable. It cannot restore normal sensation and involves a donor-site scar and a longer recovery. A balancing procedure and later nipple reconstruction are often part of the complete plan.
Microsurgical reconstruction is highly refined but is major surgery and carries risks. Possible risks include:
Smoking and impaired circulation raise the risk of healing problems, wound complications, and tissue loss, so honest assessment and smoking cessation are especially important in reconstructive surgery.
Reconstructive surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon with expertise in microsurgery and super-microsurgery, a particular skill for autologous breast reconstruction.
Dr. Amoroso coordinates carefully with your oncology team to ensure reconstruction happens at the right point relative to your broader cancer treatment.
From the first consultation, Dr. Amoroso helps you understand which approach suits your situation, what is realistic, and how reconstruction fits into your broader care.
Every procedure begins with a detailed assessment. We evaluate:
Safety is central to every step of the surgical journey. Your treatment includes:
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