Document Detail


One-staged silicone implant breast reconstruction following bilateral nipple-sparing prophylactic mastectomy in patients at high-risk for breast cancer.
MedLine Citation:
PMID:  23322096     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There is little consensus regarding the indications, ideal incision, or reconstruction method for prophylactic mastectomy. In addition, the biggest limitation in studies that assess either patient satisfaction or operation results is the lack of group homogeneity.
METHODS: In our center, 21 bilateral prophylactic mastectomies, due to breasts at high risk for cancer, and simultaneous breast reconstruction using submuscular medium-height high-profile silicone implants were performed between 2008 and 2012. The patients were divided into two groups: small-breasted (9 patients) and large/ptotic-breasted (12 patients). A periareolar incision was used in the 9 patients and a vertical mastopexy incision was used in the 12 patients who needed nipple-areola complex repositioning.
RESULTS: The rates of general satisfaction and aesthetic outcomes, assessed using the Michigan Breast Satisfaction Questionnaire, were 100 and 90.4%, respectively. Seroma occurred in three patients and venous congestion of the nipple-areola complex developed in four patients, which resolved spontaneously. No nipple-areola necrosis, implant exposition, or capsule contractures were encountered. Only three patients underwent fat injection for contour restoration.
CONCLUSION: We obtained very good aesthetic results with low complication rates using this technique in a homogeneous group of patients.
LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Authors:
Ismail Sahin; Selcuk Isik; Dogan Alhan; Ramazan Yıldız; Andac Aykan; Erkan Ozturk
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Publication Detail:
Type:  Journal Article     Date:  2013-01-16
Journal Detail:
Title:  Aesthetic plastic surgery     Volume:  37     ISSN:  1432-5241     ISO Abbreviation:  Aesthetic Plast Surg     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-26     Completed Date:  2013-09-19     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  7701756     Medline TA:  Aesthetic Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  303-11     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey. driskoc@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Breast Implants*
Breast Neoplasms / prevention & control*
Cohort Studies
Combined Modality Therapy
Disease Susceptibility / surgery
Female
Follow-Up Studies
Humans
Mammaplasty / methods*
Mastectomy, Subcutaneous / methods*
Middle Aged
Nipples
Primary Prevention / methods
Retrospective Studies
Risk Assessment
Silicone Gels
Treatment Outcome
Chemical
Reg. No./Substance:
0/Silicone Gels
Comments/Corrections
Comment In:
Aesthetic Plast Surg. 2013 Oct;37(5):1063-5   [PMID:  23860821 ]

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