Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Kropf, N; Cordeiro, CN; McCarthy, CM; Cordeiro, PG.
Demystifying trans-axillary augmentation/periareolar mastopexy: a novel, two-stage, single-operation approach to management of the contralateral breast in implant reconstruction.
J Plast Reconstr Aesthet Surg. 2011; 64(4): 485-493.
Doi: 10.1016/j.bjps.2010.06.018
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Fuchsjäger Nina
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- Abstract:
- Background: Following unilateral tissue expander/implant reconstruction, combined augmentation/mastopexy of the contralateral breast may be performed in an attempt to improve breast symmetry. Combined augmentation/mastopexy can be a very difficult operation, even for the surgeon with substantial experience. To simplify the technical approach to this complex problem, the senior author (PGC) has developed a 'two-stage, single-operation' approach. The purpose of this study is to review the safety and efficacy of this approach to the contralateral breast in the setting of unilateral, implant-based reconstruction. Methods: A retrospective review of all combined trans-axillary augmentation/periareolar mastopexies performed from 1998 to 2007 was undertaken. Only patients who had a history of prior unilateral mastectomy and immediate expander placement were included. Photographic documentation of long-term aesthetic results was evaluated by two independent observers. Results: In total, 26 combined, trans-axillary augmentation/periareolar mastopexies were performed in patients, who had initiated unilateral, postmastectomy, tissue expander/implant reconstruction on the contralateral side. No patient desired revisional surgery for inadequate ptosis correction or malpositioning of the nipple. A total of 69% of patients had a 'very good to excellent' overall aesthetic result. Of those patients who were deemed to have a 'good' aesthetic result, the development of a capsular contracture in the reconstructed breast detracted from the overall aesthetics. Conclusion: The two-stage, single-operation approach to unilateral augmentation/mastopexy described here can produce a good aesthetic result and allow for adequate oncologic follow-up. In particular, excellent results are seen in patients with grade I or II ptosis and good-quality skin preoperatively. Monitoring of the breast for cancer, using mammography, is still possible with this technique. (C) 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Breast Implantation - methods
- Breast Implants -
- Esthetics -
- Female -
- Humans -
- Magnetic Resonance Imaging -
- Mammaplasty - methods
- Mammography -
- Mastectomy -
- Middle Aged -
- Postoperative Complications -
- Retrospective Studies -
- Tissue Expansion -
- Find related publications in this database (Keywords)
- Breast surgery
- Mammaplasty
- Breast implants
- Mastopexy
- Augmentation