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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 2/2013

01-04-2013 | Original Article

One-Staged Silicone Implant Breast Reconstruction Following Bilateral Nipple-Sparing Prophylactic Mastectomy in Patients at High-Risk for Breast Cancer

Authors: Ismail Sahin, Selcuk Isik, Dogan Alhan, Ramazan Yıldız, Andac Aykan, Erkan Ozturk

Published in: Aesthetic Plastic Surgery | Issue 2/2013

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Abstract

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.
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Metadata
Title
One-Staged Silicone Implant Breast Reconstruction Following Bilateral Nipple-Sparing Prophylactic Mastectomy in Patients at High-Risk for Breast Cancer
Authors
Ismail Sahin
Selcuk Isik
Dogan Alhan
Ramazan Yıldız
Andac Aykan
Erkan Ozturk
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Aesthetic Plastic Surgery / Issue 2/2013
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-012-0044-6

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