Krastev and colleagues1 should be commended for their carefully matched cohort study that supports the long-term oncological safety of postmastectomy autologous fat transfer (AFT). It is currently recommended that, before undergoing a mastectomy, patients should have the opportunity to meet with a plastic surgeon to discuss their reconstructive options. Patients are then offered the standard implant-based or tissue flap–based reconstructions. Autologous fat transfer is rarely mentioned.