[BREAST PLASTIC SURGERY - CHALLENGES AND INNOVATIONS BREAST SURGERY EDITORIAL].

The breast as an organ has much more importance than its physiological role and is considered a symbol of fertility and femininity for thousands of years. The history of plastic surgery operations of the breast developed parallel to the oncological breast surgery started for the late 19th century. In a number of issues of IMAJ and "Harefuah", some of the challenges and complexities are presented and discussed: breast implants associated lymphoma, mycobacterial infections, and galactorrhea. There are challenges in breast reconstruction post-chemotherapy, using autologous fat with a negative pressure to enhance vascularity and fat take. Modification of the surgical technique is presented to prevent the use of acellular dermal matrix in immediate direct to implant breast reconstruction. The Israeli innovation of creating a lighter implant manipulating the silicone is also described and the experience of one center in transgender breast reductions.