Flap reconstruction is typically a way to rebuild a breast into a desired shape using muscle, skin and fat from another section of the body. Many times it is done as part of a breast reconstruction which must be performed after a mastectomy. But it can also be done for those women who have had problems with normal breast development. Another term for tissue flap surgery is “autologous” which simply means that the tissue used in the reconstructive surgery comes from the person’s body and not another source. In most cases, breast reconstruction surgery will require more than a single operation. The first part of the surgery can be done at the same time a mastectomy is performed, but it can also be done as a separate procedure. The areola and nipple are usually created later on.