PRIMARY STUDY ON CONTRALATERAL BREAST SYMMETRIZATION MAMMAPLASTY IN BREAST RECONSTRUCTION_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIUYan ,  MULan , LIGuangxue , YANGKai , PENGZhe , BIYe , ZHUYi , WANGCai

Department of Plastic & Aesthetic Surgery, Peking University People's Hospital, Beijing, 100044, P. R. China;

Corresponding?author：

MULan, Email: mulan666@aliyun.com

Keywords：

Breast reconstruction; Breast cancer; Breast symmetrization mammaplasty; Breast reduction; Breast augmentation

DOI：

10.7507/1002-1892.20160256

Video：

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Objective To explore the techniques and short-term effectivness of contralateral breast symmetrization mammaplasty in breast reconstruction. Methods Between February 2014 and December 2015, 11 patients received immediate or delayed breast reconstruction after nipple-sparing mastectomy (6 and 5 cases respectively) for contralateral breast symmetrization mammaplasty. The age ranged 36-55 years (mean, 45 years). The disease duration was from 7 days to 6 months (mean, 2.5 months) in 6 patients undergoing immediate breast reconstruction. According to tumor TNM staging, 2 cases were rated as T_isN₀M₀, 3 cases as T₁N₀M₀, and 1 case as T₂N₀M₀. The duration was from 2 to 25 years (mean, 8 years) in 5 patients undergoing delayed breast reconstruction. The implant (7 cases) and latissimus dorsi (4 cases) were used for breast reconstruction; and breast augmentation (6 cases) and breast reduction (5 cases) were performed for contralateral breast symmetrization. Results One patient had local poor wound healing postoperatively and was cured; primary healing was obtained in the other patients, and no other postoperative complication of infection, implant exposure or capsular contracture was found. The patients were followed up 3 to 24 months (mean, 12 months). The reconstructive outcomes were excellent in 9 cases and good in 2 cases, with an excellent and good rate of 100%. There was no recurrence or metastasis. Conclusion Simultaneous contralateral symmetrization with augmentation/reduction mammaplasty after breast reconstruction can obtain satisfactory symmetric outcomes.

Citation： LIU Yan, MU Lan, LI Guangxue, YANG Kai, PENG Zhe, BI Ye, ZHU Yi, WANG Cai. PRIMARY STUDY ON CONTRALATERAL BREAST SYMMETRIZATION MAMMAPLASTY IN BREAST RECONSTRUCTION. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(10): 1253-1257. doi: 10.7507/1002-1892.20160256 Copy

1.	Salgarello M, Visconti G, Baroneadesi L, et al. Contralateral breast symmetrisation in immediate prosthetic breast reconstruction after unilateral nipple-sparing mastectomy:the tailored reduction/augmentation mammaplasty. Arch Plast Surg, 2015, 42(3):302-308.
2.	Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin, 2011, 61(2):69-90.
3.	尹健, 張學慧, 張斌. 即刻乳房再造與延期乳房再造的心理調查. 中華整形外科雜志, 2005, 21(3):175-177.
4.	陳祥錦, 王彪, 鄭厚兵, 等. 保留部分腹直肌TRAM皮瓣的應用解剖及在乳房再造中的應用. 中華整形外科雜志, 2012, 28(4):248-252.
5.	Stalder MW, Lam J, Allen RJ, et al. Using the retrograde internal mammary system for stacked perforator flap breast reconstruction:71 breast reconstructions in 53 consecutive patients. Plast Reconstr Surg, 2016, 137(2):265e-277e.
6.	穆蘭花, 辛敏強, 欒杰. 乳腺癌術后乳房重建的研究現狀及其評價. 中華乳腺病雜志(電子版), 2011, 5(2):49-52.
7.	劉立剛, 武勇進, 王亮, 等. 保留乳房皮膚的乳腺切除與即刻乳房再造. 中國修復重建外科雜志, 2004, 18(6):471-474.
8.	Salgarello M, Visconti G, Barone-Adesi L. Nipple-sparing mastectomy with immediate implant reconstruction:cosmetic outcomes and technical refinements. Plast Reconstr Surg, 2010, 126(5):1460-1471.
9.	穆大力, 欒杰, 穆蘭花, 等. 腹壁淺動脈蒂游離腹壁皮瓣乳房再造術的初步臨床應用. 中華醫學美學美容雜志, 2010, 16(3):145-147.
10.	張妍, 穆蘭花, 張寒, 等. 股深動脈穿支供血的橫半月形股薄肌肌皮瓣的解剖研究及在乳房再造中的應用. 癌癥進展, 2013, 11(5):420-424.
11.	Losken A, Carlson GW, Jones GE, et al. Trends in unilateral breast reconstruction and management of the contralateral breast:the Emory experience. Plast Reconstr Surg, 2002, 110(1):89-97.
12.	Leone MS, Priano V, Franchelli S, et al. Factors affecting symmetrization of the contralateral breast:a 7-year unilateral postmastectomy breast reconstruction experience. Aesthetic Plast Surg, 2010, 35(4):446-451.
13.	Rizki H, Nkonde C, Ching RC, et al. Plastic surgical management of the contralateral breast in post-mastectomy breast reconstruction. Int J Surg, 2013, 11(9):767-772.
14.	Nahabedian MY. Managing the opposite breast:contralateral symmetry procedures. Cancer J, 2008, 14(4):258-263.
15.	李廣學, 穆籣, 劉巖, 等. 即刻假體乳房再造術中鄰近組織覆蓋假體的初步研究. 中國修復重建外科雜志, 2016, 30(3):385-388.
16.	Jung JA, Kim YW, Kang SR. Reconstruction of unexpected huge chest wall defect after recurrent breast cancer excision using a TRAM flap combined with partial latissimus dorsi muscle flap. Arch Plast Surg, 2013, 40(1):76-79.
17.	Huang JJ, Wu CW, Leon LW, et al. Simultaneous contralateral breast reduction/mastopexy with unilateral breast reconstruction using free abdominal flaps. Ann Plast Surg, 2011, 67(4):336-342.
18.	Laporta R, Longo B, Sorotos M, et al. One-stage DIEP flap breast reconstruction:Algorithm for immediate contralateral symmetrization. Microsurgery, 2015, 36(1):7-19.
19.	Stevenson TR, Goldstein JA. TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg, 1993, 92(2):228-233.
20.	Bonomi R, Betal D, Rapisarda IF, et al. Role of lipomodelling in improving aesthetic outcomes in patients undergoing immediate and delayed reconstructive breast surgery. Eur J Surg Oncol, 2013, 39(10):1039-1045.
21.	Ulusal BG, Cheng MH, Wei FC. Simultaneous endoscope-assisted contralateral breast augmentation with implants in patients undergoing postmastectomy breast reconstruction with abdominal flaps. Plast Reconstr Surg, 2006, 118(6):1083-1084.
22.	Smith ML, Clarke-Pearson EM, Vornovitsky M, et al. The efficacy of simultaneous breast reconstruction and contralateral balancing procedures in reducing the need for second stage operations. Arch Plast Surg, 2014, 41(5):535-541.
23.	Chang EI, Lamaris G, Chang DW. Simultaneous contralateral reduction mammoplasty or mastopexy during unilateral free flap breast reconstruction. Ann Plast Surg, 2013, 71(2):144-148.

1. Salgarello M, Visconti G, Baroneadesi L, et al. Contralateral breast symmetrisation in immediate prosthetic breast reconstruction after unilateral nipple-sparing mastectomy:the tailored reduction/augmentation mammaplasty. Arch Plast Surg, 2015, 42(3):302-308.
2. Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin, 2011, 61(2):69-90.
3. 尹健, 張學慧, 張斌. 即刻乳房再造與延期乳房再造的心理調查. 中華整形外科雜志, 2005, 21(3):175-177.
4. 陳祥錦, 王彪, 鄭厚兵, 等. 保留部分腹直肌TRAM皮瓣的應用解剖及在乳房再造中的應用. 中華整形外科雜志, 2012, 28(4):248-252.
5. Stalder MW, Lam J, Allen RJ, et al. Using the retrograde internal mammary system for stacked perforator flap breast reconstruction:71 breast reconstructions in 53 consecutive patients. Plast Reconstr Surg, 2016, 137(2):265e-277e.
6. 穆蘭花, 辛敏強, 欒杰. 乳腺癌術后乳房重建的研究現狀及其評價. 中華乳腺病雜志(電子版), 2011, 5(2):49-52.
7. 劉立剛, 武勇進, 王亮, 等. 保留乳房皮膚的乳腺切除與即刻乳房再造. 中國修復重建外科雜志, 2004, 18(6):471-474.
8. Salgarello M, Visconti G, Barone-Adesi L. Nipple-sparing mastectomy with immediate implant reconstruction:cosmetic outcomes and technical refinements. Plast Reconstr Surg, 2010, 126(5):1460-1471.
9. 穆大力, 欒杰, 穆蘭花, 等. 腹壁淺動脈蒂游離腹壁皮瓣乳房再造術的初步臨床應用. 中華醫學美學美容雜志, 2010, 16(3):145-147.
10. 張妍, 穆蘭花, 張寒, 等. 股深動脈穿支供血的橫半月形股薄肌肌皮瓣的解剖研究及在乳房再造中的應用. 癌癥進展, 2013, 11(5):420-424.
11. Losken A, Carlson GW, Jones GE, et al. Trends in unilateral breast reconstruction and management of the contralateral breast:the Emory experience. Plast Reconstr Surg, 2002, 110(1):89-97.
12. Leone MS, Priano V, Franchelli S, et al. Factors affecting symmetrization of the contralateral breast:a 7-year unilateral postmastectomy breast reconstruction experience. Aesthetic Plast Surg, 2010, 35(4):446-451.
13. Rizki H, Nkonde C, Ching RC, et al. Plastic surgical management of the contralateral breast in post-mastectomy breast reconstruction. Int J Surg, 2013, 11(9):767-772.
14. Nahabedian MY. Managing the opposite breast:contralateral symmetry procedures. Cancer J, 2008, 14(4):258-263.
15. 李廣學, 穆籣, 劉巖, 等. 即刻假體乳房再造術中鄰近組織覆蓋假體的初步研究. 中國修復重建外科雜志, 2016, 30(3):385-388.
16. Jung JA, Kim YW, Kang SR. Reconstruction of unexpected huge chest wall defect after recurrent breast cancer excision using a TRAM flap combined with partial latissimus dorsi muscle flap. Arch Plast Surg, 2013, 40(1):76-79.
17. Huang JJ, Wu CW, Leon LW, et al. Simultaneous contralateral breast reduction/mastopexy with unilateral breast reconstruction using free abdominal flaps. Ann Plast Surg, 2011, 67(4):336-342.
18. Laporta R, Longo B, Sorotos M, et al. One-stage DIEP flap breast reconstruction:Algorithm for immediate contralateral symmetrization. Microsurgery, 2015, 36(1):7-19.
19. Stevenson TR, Goldstein JA. TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg, 1993, 92(2):228-233.
20. Bonomi R, Betal D, Rapisarda IF, et al. Role of lipomodelling in improving aesthetic outcomes in patients undergoing immediate and delayed reconstructive breast surgery. Eur J Surg Oncol, 2013, 39(10):1039-1045.
21. Ulusal BG, Cheng MH, Wei FC. Simultaneous endoscope-assisted contralateral breast augmentation with implants in patients undergoing postmastectomy breast reconstruction with abdominal flaps. Plast Reconstr Surg, 2006, 118(6):1083-1084.
22. Smith ML, Clarke-Pearson EM, Vornovitsky M, et al. The efficacy of simultaneous breast reconstruction and contralateral balancing procedures in reducing the need for second stage operations. Arch Plast Surg, 2014, 41(5):535-541.
23. Chang EI, Lamaris G, Chang DW. Simultaneous contralateral reduction mammoplasty or mastopexy during unilateral free flap breast reconstruction. Ann Plast Surg, 2013, 71(2):144-148.

Chinese Journal of Reparative and Reconstructive Surgery

PRIMARY STUDY ON CONTRALATERAL BREAST SYMMETRIZATION MAMMAPLASTY IN BREAST RECONSTRUCTION

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