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Autologous Breast Reconstruction

A natural approach to breast reconstruction using your own tissue.

Autologous breast reconstruction restores breast shape and volume using your own body tissue rather than implants. Skin and fat are typically taken from areas such as the thigh, hip, or upper buttock and used to recreate the breast following mastectomy.

Because living tissue is used, this approach creates a soft, natural-looking breast that feels like your own and ages naturally over time. Autologous reconstruction offers a long-lasting, implant-free option tailored to your anatomy and reconstructive goals.

Dr.Cohen also offers free educational resources on her ROON profile for those who may not be able to pursue care direcly.

WHO this IS FOR:

  • Have undergone or are planning a mastectomy

  • Prefer breast reconstruction without implants

  • Have adequate donor tissue in the breast, thigh, hip, or buttock

  • Are seeking natural, long-term reconstruction results


Diagram showing the steps of nipple-sparing breast reconstruction. Part A depicts a breast with a planned incision. Part B shows breast tissue removed, creating a pocket. Options 1 and 2 illustrate implant and autologous reconstruction methods, with images of a woman showing incisions closed after each procedure.

Autologous reconstruction uses carefully selected skin and fat from another area of the body to rebuild the breast. The tissue is transferred to the chest, where blood vessels are microsurgically reconnected to support healthy circulation. The breast is then shaped using your own tissue to achieve natural contour, proportion, and symmetry.

Each procedure is individually planned, taking into account anatomy, lifestyle, and long-term outcomes.


BENEFITS

Natural Look & Feel

Your own tissue creates a soft, natural-appearing breast that moves and ages with your body.

Long Lasting Results

Because living tissue is used, results are designed to be permanent once healing is complete.

No Implants

Eliminates the need for silicone or saline implants and future implant maintenance.

Flexible Donor Options

Tissue can be taken from different areas of the body based on what best suits your anatomy and goals.

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RECOVERY & HEALING

Recovery varies depending on the donor site, but healing is carefully guided to support both the reconstructed breast and the donor area. Patients are closely monitored throughout recovery, with personalized instructions to promote comfort, safety, and optimal long-term results.

IT’S TIME to FEEL LIKE YOURSELF AGAIN