Bilateral Breast Reconstruction

ABSTRACT

Bilateral breast reconstruction is different from unilateral breast reconstruction. Although the initial surgical procedure is longer, symmetry is easier to achieve and the aesthetic result is usually better. To achieve the best possible symmetry, bilateral breast reconstruction should be performed using similar surgical procedures for each side. Bilateral breast reconstruction using tissue expansion and implants is often successful with acceptable symmetry, reconstruction with autologous tissue, however, is believed to be more desirable, especially if the patient is a suitable surgical candidate. The abdominal morbidity caused by bilateral harvest of TRAM flaps can be reduced by minimal removal of abdominal wall fascia. Elective contralateral mastectomy with immediate bilateral TRAM flap reconstruction is also recommended in select patients and this technique can provide excellent contour and symmetry.

Keywords

Bilateral - breast reconstruction - reconstruction - TRAM flaps