Prosthetic correction is undoubtedly the method of choice in cases of hypotrophy of the breast. However, there are still cases in which autologous additive mastoplasty may represent an effective alternative procedure: 1) when the patient refuses to agree to the insertion of foreign material in spite of a strong desire for corrective treatment; 2) in certain cases of breast reconstruction after subcutaneous mastectomy with the intent of obviating possible drawbacks due to the prosthesis, in the first place contraction of the capsule; 3) in the case of excessively extensive excision of tissue in the course of mastoplasty done for cosmetic reasons without resorting to the insertion of a prosthesis; 4) in patients with autoimmune disorders; 5 ) when the patient develops a psychologic refusal of the prostheses while preserving a strong determination to maintain the increased breast size obtained. These indications are not altogether infrequent and have been strengthened by recent dehates on the supposed carcinogenicity of silicone. These considerations have spurred the authors to reconsider a technique which still has a role in the field of surgical reconstruction of the breast, in spite of its inherent limitations (more extensive scars, smaller increase in size).
