Reconstructive

Reconstructive refers to the medical field focused on restoring form and function after injury, disease, or congenital conditions. In practice, reconstructive surgery encompasses procedures that repair defects in skin, soft tissue, bone, nerves, and organs, aiming to improve mobility, function, and appearance. It is distinguished from cosmetic or aesthetic procedures by its emphasis on restoring function, though aesthetic outcomes are often a meaningful goal.

Common indications include trauma with tissue loss, oncologic resections requiring reconstruction, burns, congenital anomalies such as cleft lip and palate or microtia, and breast reconstruction after mastectomy. Reconstructive techniques range from simple skin grafts to complex microsurgical tissue transfer. Local and regional flaps, free flap transfers, bone grafts, tissue expansion, nerve and tendon repair, scar revision, and implant-based or autologous reconstructions are used across body regions. Craniofacial reconstruction, hand and upper-extremity reconstruction, and limb-sparing procedures illustrate the discipline's breadth.

Outcomes focus on restoring function and improving quality of life, with patient satisfaction closely tied to functional results and facial or body symmetry. Risks include infection, graft or flap failure, donor-site morbidity, anesthesia complications, and scarring. Recovery is often staged and multidisciplinary, involving surgeons, physical therapists, and rehabilitative specialists.

Training typically occurs within plastic and reconstructive surgery residencies and fellowships, though related specialties contribute in areas such as orthopedics and maxillofacial surgery. Advances such as microsurgery, computer-assisted planning, three-dimensional printing, tissue engineering, and regenerative medicine continue to expand options for reconstruction across ages and etiologies.