Microsurgical Breast Reconstruction.

This article reviews the approach to microsurgical breast reconstruction. Innovations including the role of indocyanine green angiography, resensation, adapting techniques for safe outcomes in an obese patient population, robotic deep inferior epigastric perforator, and prophylactic lymphovenous bypass are highlighted. Recipient vessel considerations and troubleshooting are reviewed, in addition to first-line and alternative flap options and their characteristics. Emphasis is placed on practical elements of flap selection and surgical technique.