Plastic surgical management of the contralateral breast in post-mastectomy breast reconstruction

Rizki, Hirah; Nkonde, C.; Ching, Rosanna C; Kumiponjera, Devor; Malata, Charles M.

doi:10.1016/j.ijsu.2013.06.844

Cited by 19 publications

(19 citation statements)

References 57 publications

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“…In Western countries, reports on reduction mammaplasty and mastopexy for the contralateral breast after unilateral breast reconstruction are fairly numerous (7)(8)(9)(10)(11)(12)(13)(14). Touch-up surgery for contralateral breasts has been rarely reported in Japan.…”

Section: Discussionmentioning

confidence: 99%

Reduction mammaplasty and mastopexy for the contralateral breast after reconstruction surgery following cancer resection: A report of 3 cases

et al. 2016

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Summary : Background : Breast reconstruction generally involves autologous tissue transplantation and placement of a mammary prosthesis. When the patient's breasts are extremely large and ptotic, breast reconstruction often results in significantly asymmetrical appearance. However, a good aesthetic outcome after reconstruction surgery following cancer resection is an important quality-of-life factor. We evaluated the efficacy of touch-up surgery, either reduction mammaplasty or mastopexy, performed on the contralateral breast for symmetrization. Methods : Reduction mammaplasty was performed on the contralateral breast in 2 patients and mastopexy was performed on the contralateral breast in 1 patient after reconstruction surgery following cancer resection, between 2008 and 2014. We reviewed each patient's medical record for general clinical information and for the methods of breast cancer resection and breast reconstruction used, wait time between breast cancer resection and touch-up surgery, preservation of the sensitivity of the nipple-areola complex after the touch-up surgery, and aesthetic outcome (based on visual analog scale score). Results : Wait times in the 3 cases were 4, 9, and 18 months. Nipple-areolar sensitivity was well preserved in all 3 cases. Aesthetic outcomes were judged "excellent" or "very good." Conclusion : Revision surgery on the contralateral breast 4 to 18 months after breast reconstruction substantially improves the aesthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Reduction mammaplasty and mastopexy for the contralateral breast after reconstruction surgery following cancer resection: A report of 3 cases

et al. 2016

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“…The symmetry with the opposite breast is one of the final goals. Taking into account the oncological safety, a contralateral breast lift, breast reduction, or augmentation can be recommended to create a balanced result, increasing patient satisfaction [8]. The precise timing of the reconstructive procedure is decided by a multidisciplinary team composed by an oncologist, a radiotherapist, and a plastic surgeon.…”

Section: Introductionmentioning

confidence: 99%

Timing between Breast Reconstruction and Oncologic Mastectomy—One Center Experience

et al. 2020

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Background and objectives: Breast cancer is the most common cancer in women. The immunohistochemical profile, but also the stage of the tumor determines the therapeutic management, which varies from conservative surgery to mastectomy associated with chemotherapy, hormonal and biological therapy and/or radiotherapy. Mastectomy remains one of the most radical surgical intervention for women, having great consequences on quality of life, which can be improved by realizing immediate or delayed breast reconstruction. The objective of the study was to evaluate the period of time between the mastectomy and the breast reconstruction. Material and methods: We performed a retrospective study on 57 female patients admitted to the Plastic Surgery Department of the Clinical Emergency Hospital “Prof. Dr. Agrippa Ionescu”, Bucharest, Romania. All the patients underwent immediate or delayed breast reconstruction after mastectomy for confirmed breast cancer. Descriptive data analysis was realized with evaluation of type of breast reconstruction considering the staging of the tumor, the invaded lymph nodes, and the necessity of adjuvant chemoradiotherapy. Moreover, the median period between mastectomy and reconstruction was evaluated. Results: The immediate breast reconstruction was performed in patients with stage I, in patients with stage II, delayed reconstruction was performed after minimum six months, and the patients with stage III had the breast reconstructed with free flap (50%), 8–43 months post-mastectomy. Radiotherapy determines the type of breast reconstruction, in most of the cases the latissimus dorsi flap was used with implant (22.6%). Conclusions: Breast reconstruction is an important step in increasing the quality of life for women who underwent mastectomy after breast cancer. The proper timing for breast reconstruction must be settled by a team formed by the patient, the plastic surgeon, and the oncologist.

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“…When compared with autologous transfer, it may be more challenging for the plastic surgeon to achieve adequate and reliable symmetry using prosthetic techniques. 1,2 Implants tend to create a more rounded and full appearance to the breast, especially in the upper pole, which often does not resemble the remaining natural breast. For this reason, a contralateral symmetry procedure (CSP) is often performed in this setting.…”

mentioning

confidence: 99%

“…Three CSPs commonly performed include augmentation, mastopexy, and reduction. 1,2 The choice is based on the shape, size, and projection of the remaining natural breast, as well as patient preference. Despite the high number of CSPs completed for unilateral implant BR, most outcomes are derived from subjective physician opinion with sparse data on patient-reported outcomes (PROs).…”

mentioning

confidence: 99%

Impact of Contralateral Symmetry Procedures on Long-Term Patient-Reported Outcomes following Unilateral Prosthetic Breast Reconstruction

Panchal

Albornoz

Pusic

et al. 2018

J reconstr Microsurg

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Prosthetic reconstruction with contralateral breast augmentation was associated with greater satisfaction with breast and reconstructive outcome. In contrast, breast reduction and mastopexy procedures demonstrated equivalent satisfaction with breasts compared with controls but may be associated with lower physical well-being. Such information can be used to improve the shared decision-making process for women who choose unilateral prosthetic BR.

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Plastic surgical management of the contralateral breast in post-mastectomy breast reconstruction

Cited by 19 publications

References 57 publications

Reduction mammaplasty and mastopexy for the contralateral breast after reconstruction surgery following cancer resection: A report of 3 cases

Reduction mammaplasty and mastopexy for the contralateral breast after reconstruction surgery following cancer resection: A report of 3 cases

Timing between Breast Reconstruction and Oncologic Mastectomy—One Center Experience

Impact of Contralateral Symmetry Procedures on Long-Term Patient-Reported Outcomes following Unilateral Prosthetic Breast Reconstruction

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