Once upon a time, Angelina Jolie, a woman with thick lips and impressive breasts, underwent a double mastectomy and breast reconstruction in order to reduce her risk of breast cancer, and today, this sex goddess is still in her element. Breast cancer used to be a nightmare for many women, and it was often difficult to choose between life and self-esteem, fearing that we would not be able to accept the difference in our lives after losing our breasts. But Angelina Jolie proved to us that “excision” is not the end, and “breast reconstruction” makes the loss of breasts no longer scary. At present, early diagnosis and treatment of breast cancer can greatly extend the survival period or even cure, on the other hand, the development of modern plastic surgery has made it possible to reshape the complete and perfect shape of the breast to become a reality. Breast reconstruction can maximize the restoration of the original volume and shape of the breast, and seek to be proportional to the opposite side of the breast, and even can be reconstructed to a larger and more beautiful breast, so as to make women’s body shape return to perfection, which is very helpful for restoring self-confidence and improving the quality of life. What is breast reconstruction? “Breast reconstruction refers to the use of autologous tissue grafts or breast implants to reconstruct missing breasts caused by breast cancer or lumps after mastectomy, etc. After the surgery, not only can the external shape of the breast be restored, but the effect is even more long-lasting, with a lifelike appearance and a natural feel. Loss of breasts how to do – commonly used breast reconstruction methods: 1, autologous tissue reconstruction: First, the lower abdominal musculocutaneous flap or skin flap The lower abdominal tissue can be made into a tipped musculocutaneous flap (TRAM flap) upward transfer for breast reconstruction, but also can be made into a free skin flap (DIEP flap) transplanted to the chest through vascular anastomosis. Scarring: A transverse incision scar will be left in the lower abdomen. Advantages: One of the best method choices, richer tissue, relatively most realistic in softness and appearance, especially in women who have given birth. The removal of the tissue for reconstruction also flattens the abdomen and serves to shape the abdominal wall. Disadvantages: Although the effect of lower abdominal tissue is good, the operation and later recovery time is longer and relatively more traumatic. It is also the most demanding for hospitals and doctors, who need to have rich experience. Contraindications: If there is scarring in the abdomen, liposuction and abdominal wall plasty have been done, or abdominal blood vessels have been damaged, it is not suitable to use this tissue flap. Second, latissimus dorsi muscle flap of the back The latissimus dorsi muscle and its surface skin and subcutaneous fat on the affected side of the back are cut and transferred to the chest for plastic reconstruction, and the traumas behind the back can be sutured directly. Scarring: linear scarring. Advantages: One of the most commonly used methods, relatively short surgery and post recovery time, relatively less invasive, often preferred for immediate breast reconstruction. Disadvantages: Due to the overall small amount of tissue in the back, only smaller breasts can be reconstructed, and if a larger breast is to be reconstructed, it often needs to be combined with an artificial implant. 2, artificial implant reconstruction: the use of artificial breast implants, placed behind the pectoralis major muscle equivalent to the position of the breast, to rebuild the shape of the breast. Advantage: The simplest method, shorter operation time, less trauma, faster recovery, most suitable for medium and small volume breast reconstruction. I. Simply using implant: suitable for those who have less soft tissue loss such as chest skin, subcutaneous fat, muscle, etc., with enough coverage, and the opposite side of the breast is not very large, without obvious sagging, and are not willing to use other parts of the autologous tissue for reconstruction. Tissue expansion + prosthesis insertion: suitable for those who have tight chest skin and other soft tissues, less amount and no flaccidity, and the opposite side of the breast is larger or those who want to reconstruct a bigger breast. 3.Autogenous tissue + artificial prosthesis: the most commonly used is the combination of the latissimus dorsi muscle flap from the back and the breast prosthesis, which is suitable for the reconstruction of autogenous tissue with insufficient amount of tissue, and the use of prosthesis with insufficient or too thin surface coverage of the tissue, which has the characteristics of both autogenous tissue and prosthesis reconstruction.