Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Contralateral Breast Symmetrisation in Immediate Prosthetic Breast Reconstruction after Unilateral Nipple-Sparing Mastectomy: The Tailored Reduction/Augmentation Mammaplasty

  • Salgarello, Marzia (Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart-University Hospital "A. Gemelli") ;
  • Visconti, Giuseppe (Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart-University Hospital "A. Gemelli") ;
  • Barone-Adesi, Liliana (Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart-University Hospital "A. Gemelli") ;
  • Franceschini, Gianluca (Breast Unit, Catholic University of the Sacred Heart-University Hospital "A. Gemelli") ;
  • Masetti, Riccardo (Breast Unit, Catholic University of the Sacred Heart-University Hospital "A. Gemelli")
  • Received : 2014.11.01
  • Accepted : 2015.01.14
  • Published : 2015.05.15
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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.

Keywords

References

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