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[Breast reconstruction--where are we heading?].

Breast reconstruction has become a routine procedure, being performed in a growing part of the mastectomy patients' population. Proven improvement in body image and in coping with breast cancer encouraged plastic and general surgeons to warmly recommend the procedure. The advances in the genetic evaluation of the breast cancer population cause an increase in prophylactic surgery and subsequent reconstructions. Today, we can offer two types of reconstruction: by using tissue expanders or by using autologous tissues from various sources: abdomen, back and the gluteal region. The advancement in surgical techniques enable us to offer a custom made reconstruction that is performed according to the patient condition and desire. We describe our experience in breast reconstruction using Becker implant-expanders in 229 patients in the last decade. We detail the organization chart of our multidisciplinary breast reconstruction team clinic and we suggest a flow chart for the evaluation and planning of breast reconstruction. Custom made reconstruction, done in the envelope of a multidisciplinary supporting system is the future of this procedure.