Selection of secondary breast reconstruction procedures.

Careful individualization to the patient is the key to selecting a procedure for breast reconstruction. There will be several options to choose from in a given situation, and the most appropriate selection can be achieved only through preoperative planning, patient education, and frank discussion. With continued progress in breast cancer treatment and technical advances in reconstructive techniques, plastic surgeons must make the effort to remain current in the midst of this change in order to advise their patients appropriately about the pros and cons of each available alternative.