TY - JOUR
T1 - Contralateral breast symmetrisation in immediate prosthetic breast reconstruction
after unilateral nipple-sparing mastectomy: the tailored reduction/augmentation
mammaplasty
AU - Salgarello, Marzia
AU - Visconti, Giuseppe
AU - Barone-Adesi, Liliana
AU - Barone Adesi, Liliana
AU - Franceschini, Gianluca
AU - Masetti, Riccardo
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
KW - breast cancer
KW - mammaplasty
KW - surgery
KW - breast cancer
KW - mammaplasty
KW - surgery
UR - http://hdl.handle.net/10807/68237
U2 - 10.5999/aps.2015.42.3.302
DO - 10.5999/aps.2015.42.3.302
M3 - Article
SN - 2234-6163
VL - 42
SP - 302
EP - 308
JO - Archives of Plastic Surgery
JF - Archives of Plastic Surgery
ER -