Understand Your Reconstruction Options Breast reconstruction surgery can be approached in several ways. The most common options include: Implant-based reconstruction: This involves inserting silicone or saline implants to recreate the breast shape. Autologous (flap) reconstruction: This technique uses the patient’s own tissue, often taken from the abdomen (DIEP flap), back, or thighs, to form a new breast. Choosing between these options depends on factors like your body type, medical history, skin condition, and the type of mastectomy you had. Autologous tissue reconstruction is considered more complex but offers long-term benefits, including a more natural feel and appearance.