Contralateral Breast Symmetrisation in Immediate Prosthetic Breast Reconstruction after Unilateral Nipple-Sparing Mastectomy: The Tailored Reduction/Augmentation Mammaplasty

• Main Authors: Marzia Salgarello, Giuseppe Visconti, Liliana Barone-Adesi, Gianluca Franceschini, Riccardo Masetti
• Format: Article
• Language: English
• Published: Korean Society of Plastic and Reconstructive Surgeons 2015-05-01
• Series: Archives of Plastic Surgery
• Subjects: Mastectomy; Mastectomy, subcutaneous; Breast implants; Mammaplasty
• Online Access: http://www.e-aps.org/upload/pdf/aps-42-302.pdf

BackgroundIn the literature on nipple-sparing mastectomy (NSM) with one-stage immediate implant reconstruction, contralateral symmetrisation has drawn little attention, with many surgeons still performing standard cosmetic mammaplasty procedures. However, standard implant-based mammaplasty usually does not result in proper symmetry with the mastectomy side, especially regarding breast projection, overall shape, and volume distribution.MethodsWe retrospectively reviewed 19 consecutive patients undergoing unilateral NSM with immediate prosthetic reconstruction and contralateral simultaneous symmetrisation by using the tailored reduction/augmentation mammaplasty technique between June 2012 and August 2013.ResultsThe average follow-up time was 13 months (range, 10-24 months). No major complications, such as infection, haematoma, and nipple-areola complex necrosis, were experienced.ConclusionsOur experience suggests that simultaneous contralateral symmetrisation with tailored reduction/augmentation mammaplasty after unilateral immediate implant reconstruction after NSM facilitates durable and pleasant symmetric outcomes.