Contralateral Breast Symmetrisation in Immediate Prosthetic Breast Reconstruction after Unilateral Nipple-Sparing Mastectomy: The Tailored Reduction/Augmentation Mammaplasty.
10.5999/aps.2015.42.3.302
- Author:
Marzia SALGARELLO
1
;
Giuseppe VISCONTI
;
Liliana BARONE-ADESI
;
Gianluca FRANCESCHINI
;
Riccardo MASETTI
Author Information
1. Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart-University Hospital "A. Gemelli", Rome, Italy. m.salgarello@mclink.it
- Publication Type:Original Article
- Keywords:
Mastectomy;
Mastectomy, subcutaneous;
Breast implants;
Mammaplasty
- MeSH:
Breast Implants;
Breast*;
Female;
Follow-Up Studies;
Humans;
Mammaplasty*;
Mastectomy*;
Mastectomy, Subcutaneous;
Necrosis;
Retrospective Studies
- From:Archives of Plastic Surgery
2015;42(3):302-308
- CountryRepublic of Korea
- Language:English
-
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.
