Demystifying trans-axillary augmentation/periareolar mastopexy: A novel, two-stage, single-operation approach to management of the contralateral breast in implant reconstruction Journal Article
| Authors: | Kropf, N.; Cordeiro, C. N.; McCarthy, C. M.; Cordeiro, P. G. |
| Article Title: | Demystifying trans-axillary augmentation/periareolar mastopexy: A novel, two-stage, single-operation approach to management of the contralateral breast in implant reconstruction |
| 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. © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. |
| Keywords: | adult; mastectomy; surgical approach; mammaplasty; postoperative complication; patient safety; breast endoprosthesis; breast implants; breast surgery; esthetic surgery; breast augmentation; augmentation; mastopexy |
| Journal Title: | Journal of Plastic Reconstructive and Aesthetic Surgery |
| Volume: | 64 |
| Issue: | 4 |
| ISSN: | 1748-6815 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2011-04-01 |
| Start Page: | 485 |
| End Page: | 493 |
| Language: | English |
| DOI: | 10.1016/j.bjps.2010.06.018 |
| PROVIDER: | scopus |
| PUBMED: | 20674527 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 23 June 2011" - "Source: Scopus" |
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