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Aesthetic Plastic Surgery

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01-06-2019 | Breast Reduction Plastic | Original Article

Breast Reduction and Mastopexy for Repair of Asymmetry After Breast Conservation Therapy: Lessons Learned

Authors: Yoav Barnea, Gal Bracha, Ehud Arad, Eyal Gur, Amir Inbal

Published in: Aesthetic Plastic Surgery | Issue 3/2019

Abstract

Background

Breast conservation therapy (BCT) can cause breast distortion and asymmetry. Repair of this asymmetry by means of breast reduction or mastopexy procedures can be challenging and harbor considerably high rates of complications.

Methods

In this retrospective study, we describe our experience in repairing post-BCT breast asymmetry by performing breast reduction or mastopexy. The surgical protocol we followed consisted of stringent patient selection, thorough surgical planning, basic surgical refinements, and patient education for enhancing the likelihood of achieving a good outcome with minimal surgical complications.

Results

Our search of the departmental database identified 25 patients with breast asymmetry who had undergone breast reduction or mastopexy between 2009 and 2017. Corrective surgery was performed 4 years on average after the completion of radiotherapy, and those patients included eleven who had undergone breast reduction and fourteen who had undergone mastopexy on the radiated side. Two patients (8%) had major complications that required further surgery (major fat necrosis, wound infection, and breast deformation), and five patients (20%) had minor complications (infection, minor fat necrosis, wound dehiscence, and nipple congestion). All complications developed on the radiated breast. There was no correlation between the occurrence of complications and patients’ demographics, tumor type, tumor location, and breast tissue resection (p > 0.05).

Conclusion

Only two of our 25 patients had major complications following breast reduction and mastopexy for the repair of asymmetry post-BCT. Following our four-step protocol was instrumental in leading to the successful performance of these procedures.

Level of Evidence IV

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.

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Title: Breast Reduction and Mastopexy for Repair of Asymmetry After Breast Conservation Therapy: Lessons Learned
Authors: Yoav Barnea
Gal Bracha
Ehud Arad
Eyal Gur
Amir Inbal
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Breast Reduction Plastic
Mastopexy
Breast Reduction Plastic
Breast Asymmetry
Mastopexy
Breast Reduction Plastic
Mastopexy
Breast Asymmetry
Published in: Aesthetic Plastic Surgery / Issue 3/2019
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-019-01338-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Breast Reduction and Mastopexy for Repair of Asymmetry After Breast Conservation Therapy: Lessons Learned

Abstract

Background

Methods

Results

Conclusion

Level of Evidence IV

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Level of Evidence IV

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