Contralateral Breast Symmetrisation in Immediate Prosthetic Breast Reconstruction after Unilateral Nipple-Sparing Mastectomy: The Tailored Reduction/Augmentation Mammaplasty
Archives of Plastic Surgery
;
: 302-308, 2015.
Article
in English
| WPRIM
| ID: wpr-167152
ABSTRACT
BACKGROUND:
In the literature on nipple-sparing mastectomy (NSM) with one-stage immediate implant reconstruction, contralateral symmetrisation has drawn little attention, with many surgeons still performing standard cosmetic mammaplasty procedures. However, standard implant-based mammaplasty usually does not result in proper symmetry with the mastectomy side, especially regarding breast projection, overall shape, and volume distribution.METHODS:
We retrospectively reviewed 19 consecutive patients undergoing unilateral NSM with immediate prosthetic reconstruction and contralateral simultaneous symmetrisation by using the tailored reduction/augmentation mammaplasty technique between June 2012 and August 2013.RESULTS:
The average follow-up time was 13 months (range, 10-24 months). No major complications, such as infection, haematoma, and nipple-areola complex necrosis, were experienced.CONCLUSIONS:
Our experience suggests that simultaneous contralateral symmetrisation with tailored reduction/augmentation mammaplasty after unilateral immediate implant reconstruction after NSM facilitates durable and pleasant symmetric outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Breast
/
Mastectomy, Subcutaneous
/
Retrospective Studies
/
Follow-Up Studies
/
Mammaplasty
/
Breast Implants
/
Mastectomy
/
Necrosis
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2015
Type:
Article
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