Document Detail

Early, staged reconstruction in young women with severe breast asymmetry.
MedLine Citation:
PMID:  19646667     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVE: To retrospectively examine a cohort of young women with severe hypoplasia or asymmetric breast development who underwent breast reconstruction with tissue expansion and to determine complication rates as well as patient satisfaction. DESIGN: Chart review. SETTING: The University of Michigan Hospital, a tertiary care center. PARTICIPANTS: Women less than 25 years of age who underwent staged breast reconstruction with a tissue expander between 1998 and 2006. MAIN OUTCOME MEASURES: Complication rate and patient satisfaction. RESULTS: The mean age of patients undergoing the procedure was 18.1 years (range 14-25 years). Of 10 patients with recorded tobacco use, 8 (80%) were noted to be nonsmokers. One of 14 patients (7.1%) was found to have a minor complication (cellulitis), and 2 of 14 (14.2%) were found to have major complications. Of the 13 patients who had at least 6 weeks of follow-up after completion of their reconstruction, 10 were subjectively documented as pleased with the result, 2 records made no mention of patient satisfaction, and 1 patient had concerns regarding her results. CONCLUSION: Our study shows promising results for the use of tissue expanders in young women with significant breast asymmetry or unilateral/bilateral micromastia. The very important issues of short-term and long-term satisfaction and outcomes needs further study before advocating an early approach to teens with breast deformities.
Meghan B Oakes; Elisabeth H Quint; Yolanda R Smith; Paul S Cederna
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  22     ISSN:  1873-4332     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-03     Completed Date:  2009-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  223-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Michigan Health Systems, 1500 E. Medical Center Drive, Room L4000 Women's Hospital, Ann Arbor, MI 48109-0276, USA.
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MeSH Terms
Breast / abnormalities*,  injuries
Breast Implants*
Cohort Studies
Patient Satisfaction
Retrospective Studies
Tissue Expansion Devices*
Young Adult

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