Advances in breast reconstruction of mastectomy and lumpectomy defects.

Breast reconstruction continues to evolve along with advances in the detection and management of breast cancer. With more patients diagnosed with breast cancer earlier in life and increased identification of genetic mutations predisposing patients to breast cancer, patients' desires and expectations regarding reconstruction have become more sophisticated. Restoration of the breast to a form as close as possible to its presurgical state continues to be a primary goal. The past decade has seen many advances in implant and autologous tissue-based reconstruction. The future of reconstruction for breast cancer patients is promising with continued research in ways to improve the care provided.