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CC BY-NC 4.0 · Arch Plast Surg 2015; 42(03): 302-308
DOI: 10.5999/aps.2015.42.3.302
Original Article

Contralateral Breast Symmetrisation in Immediate Prosthetic Breast Reconstruction after Unilateral Nipple-Sparing Mastectomy: The Tailored Reduction/Augmentation Mammaplasty

Marzia Salgarello
Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart-University Hospital "A. Gemelli", Rome, Italy
,
Giuseppe Visconti
Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart-University Hospital "A. Gemelli", Rome, Italy
,
Liliana Barone-Adesi
Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart-University Hospital "A. Gemelli", Rome, Italy
,
Gianluca Franceschini
Breast Unit, Catholic University of the Sacred Heart-University Hospital "A. Gemelli", Rome, Italy
,
Riccardo Masetti
Breast Unit, Catholic University of the Sacred Heart-University Hospital "A. Gemelli", Rome, Italy
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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

Mastectomy - Mastectomy, subcutaneous - Breast implants - Mammaplasty

The authors thank Antonia Conti, Medical Artist, for designing high-fidelity artwork.




Publication History

Received: 01 November 2014

Accepted: 14 January 2015

Article published online:
05 May 2022

© 2015. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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