Breast reconstruction generally falls into two categories implant based reconstruction or flap reconstruction implant reconstruction relies on breast implants to help form a new breast mound flap or autologous reconstruction uses the patients own tissue from another part of the body to form a new breast. During reconstruction a plastic surgeon creates a breast shape using an artificial implant implant reconstruction a flap of tissue from another place on your body autologous reconstruction or both whatever your age relationship status sexual activity or orientation you cant predict how you will react to losing a breast. Immediate breast reconstruction under the pectoral muscle this procedure is also performed as a combination with the mastectomy and results in an immediate breast mound the incision generally is performed through the mastectomy site once the mastectomy is completed the plastic surgeon will elevate the pectoralis major muscle. Reconstructive procedures breast reconstruction know your post mastectomy options breast reconstruction utilizes several plastic surgery techniques to restore a breast to near normal shape and appearance following mastectomy