How to Maximize Aesthetics in Autologous Breast Reconstruction

Ryan D. Wagner, Kristy L. Hamilton, Andres F. Doval, Aldona J. Spiegel

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


With continuous technical and functional advances in the field of breast reconstruction, there is now a greater focus on the artistry and aesthetic aspects of autologous reconstruction. Whereas once surgeons were most concerned with flap survival and vessel patency, they are now dedicated to reconstructing a similarly or even more aesthetically pleasing breast than before tumor resection. We discuss the approach to shaping the breast through the footprint, conus, and skin envelope. We then discuss how donor site aesthetics can be optimized through flap design, scar management, and umbilical positioning. Each patient has a different perception of their ideal breast appearance, and through conversation and counseling, realistic goals can be set to reach optimal aesthetic outcomes in breast reconstruction.

Original languageEnglish (US)
Pages (from-to)S45-S54
JournalAesthetic surgery journal
Issue numberSuppl 2
StatePublished - Nov 17 2020


  • Breast/surgery
  • Breast Neoplasms/surgery
  • Esthetics
  • Humans
  • Mammaplasty
  • Surgical Flaps

ASJC Scopus subject areas

  • Surgery


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