Reconstruction of the breast.

The options for breast reconstruction include implant and expander, latissimus dorsi flap, TRAM flap, and free flaps. The moratorium on silicone gel implants has increased the use of TRAM and free flap breast reconstruction. Immediate reconstruction after preoperative planning with the surgical oncologist has improved the aesthetic results. Morbidity has been reduced through refinement in surgical technique and careful patient selection.