One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy
Archives of Plastic Surgery
;
: 553-558, 2013.
Article
in English
| WPRIM
| ID: wpr-106987
ABSTRACT
BACKGROUND:
Skin-sparing mastectomy with immediate breast reconstruction is increasingly becoming a proven surgical option for early-stage breast cancer patients. Areola-sparing mastectomy (ASM) has also recently become a popular procedure. The purpose of this article is to investigate the reconstructive and aesthetic issues experienced with one-stage nipple and breast reconstruction using ASM.METHODS:
Among the patients who underwent mastectomy between March 2008 and March 2010, 5 women with a low probability of nipple-areolar complex malignant involvement underwent ASM and immediate breast reconstruction with simultaneous nipple reconstruction using the modified C-V flap. The cosmetic outcomes of this series were reviewed by plastic surgeons and patient self-assessment and satisfaction were assessed via telephone interview.RESULTS:
During the average 11-month follow-up period, there were no cases of cancer recurrence, the aesthetic outcomes were graded as excellent to very good, and all of the patients were satisfied. Two patients developed a gutter-like depression around the reconstructed nipple, and one patient developed skin erosion in a small area of the areola, which healed with conservative dressing. The other complications, such as necrosis of the skin flap or areola, seroma, hematoma, or fat necrosis did not occur.CONCLUSIONS:
Since one-stage nipple and breast reconstruction following ASM is an oncologically safe, cost-effective, and aesthetically satisfactory procedure, it is a good surgical option for early breast cancer patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Self-Assessment
/
Skin
/
Telephone
/
Bandages
/
Breast
/
Breast Neoplasms
/
Follow-Up Studies
/
Mammaplasty
/
Cosmetics
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2013
Type:
Article
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