The Effects of Breast Size in Unilateral Postmastectomy Breast Reconstruction

Duggal, Claire S.; Grudziak, Joanne; Metcalfe, Drew; Carlson, Grant W.; Losken, Albert

doi:10.1097/sap.0b013e318263f1f8

Cited by 19 publications

(22 citation statements)

References 27 publications

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“…Approximately 18% to 25% of patients who receive a mastectomy undergo breast reconstruction [23]. The breast reconstruction methods vary, including the use of autologous tissue, prosthetic material, or a combination of the two [4].…”

Section: Introductionmentioning

confidence: 99%

Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

et al. 2017

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PurposeBreast volume assessment is one of the most important steps during implant-based breast reconstruction because it is critical in selecting implant size. According to previous studies, there is a close relationship between the mastectomy specimen weight and resected breast volume. The aim of this study was to evaluate long-term patient satisfaction with implant-based breast reconstruction guided by the ratio of implant volume to mastectomy specimen weight. In doing so, we describe the ideal ratio for patient satisfaction.MethodsA total of 84 patients who underwent implant-based breast reconstruction for breast cancer were included in this study. The patients were grouped by the ratio of implant size to mastectomy specimen weight (group 1, <65%; group 2, 65%–75%; and group 3, >75%). Outcome analysis was performed using a questionnaire of patient satisfaction and the desired implant size.ResultsPatient satisfaction scores concerning the postoperative body image, size, and position of the reconstructed breast were significantly higher in group 2. The average ratio of the ideal implant volume to mastectomy specimen weight for each group was 71.9% (range, 54.5%–96.7%), with the differences across the three groups being not significant (p=0.244).ConclusionSince there is an increase in breast reconstruction, selecting the appropriate breast implant is undoubtedly important. Our novel technique using the ratio of implant volume to mastectomy specimen weight provides physicians a firm guide to intraoperative selection of the proper implant in reconstructive breast surgery.

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Section: Introductionmentioning

confidence: 99%

Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

et al. 2017

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“…The decision regarding the most appropriate reconstruction technique should take into consideration the patient’s preference, risk factors and physical characteristics [1, 3]. …”

Section: Discussionmentioning

confidence: 99%

Combined TRAM flap with latissimus dorsi myocutaneous flap for reconstruction of a large breast post-radiation induced necrosis

Maksoud

Moneer²,

Barsoum³

2017

Journal of Surgical Case Reports

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Radiation therapy is a critical component of breast cancer management following breast-conserving surgery. Post-radiation sequelae are greater in women with larger breasts, given the need for higher doses and dosing heterogeneity. The goal of breast reconstruction post-mastectomy is to improve the quality of life and add no more health risk. The optimal reconstruction should make the patient feel as natural as possible. Reconstruction of a large-sized breast with aesthetically satisfactory outcome poses a challenge to the breast surgeon. The breast of most Egyptian women is of a large volume with variable degrees of ptosis, thus it is difficult to reconstruct such a large-ptotic breast using an implant. We describe the successful reconstruction of a large-sized breast after radiation-induced necrosis using a combined transverse myocutaneous rectus abdominis flap and latissimus dorsi myocutaneous flap reconstruction. The combined use of both flaps offered a more natural breast reconstruction and avoided the use of any implants.

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“…It usually provides softer tissue and more natural ptosis. It has also been associated with a more readily obtained final outcome and fewer secondary procedures [1,2,13]. Especially in small-breasted Asian women, implant-based reconstruction usually results in narrow breasts with excessive projection because small breasts tend to be wide and flat compared with most available implants [14].…”

Section: Discussionmentioning

confidence: 99%

“…Various contralateral procedures, such as augmentation mammoplasty, reduction mammoplasty, or mastopexy can be combined with breast reconstruction. It is not uncommon to combine contralateral augmentation with unilateral breast reconstruction in lean females who have small breasts and a slender body frame [1,10]. However, large-volume augmentation mammoplasty is often limited in cases of immediate reconstruction due to the tension of the mastectomy skin flap on the reconstructed side.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bilateral Autologous Breast Reconstruction in a Patient with Unilateral Breast Cancer: A Case Report

Kim

Son

Kim

2018

Arch Aesthetic Plast Surg

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The Effects of Breast Size in Unilateral Postmastectomy Breast Reconstruction

Cited by 19 publications

References 27 publications

Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

Combined TRAM flap with latissimus dorsi myocutaneous flap for reconstruction of a large breast post-radiation induced necrosis

Bilateral Autologous Breast Reconstruction in a Patient with Unilateral Breast Cancer: A Case Report

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