Autologous reconstruction has several advantages:
Unlike implants, free flap reconstruction can't rupture or leak.
The result tends to look and feel more natural than with implants.
A successful autologous reconstruction can last a lifetime, whereas implants may need to be replaced.
When compared with implants, autologous reconstruction also has some disadvantages:
The recovery period may be longer and more painful because you'll have two surgical sites. You'll also have scars at both sites.
If blood flow to the transferred tissue is lost, the tissue may not survive. This is a major complication, though the risk is low. Should it happen, the patient is taken back to the operating room so the team can evaluate the flap and, if possible, salvage the reconstruction.