Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction
Background. A combination of the reduction mammoplasty technique and breast reconstruction allows surgeons to lift ptotic breasts through local flaps and skin reduction during surgery for breast cancer. This study presents a reliable course for the combination of partial and skin or nipple-sparing m...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | The Breast Journal |
| Online Access: | http://dx.doi.org/10.1155/2022/2952322 |
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| author | Jong Ho Lee Jeong Yeop Ryu Kang Young Choi Jung Dug Yang Ho Yun Chung Byung Chae Cho Byeongju Kang Jeeyeon Lee Ho Yong Park Joon Seok Lee |
| author_facet | Jong Ho Lee Jeong Yeop Ryu Kang Young Choi Jung Dug Yang Ho Yun Chung Byung Chae Cho Byeongju Kang Jeeyeon Lee Ho Yong Park Joon Seok Lee |
| author_sort | Jong Ho Lee |
| collection | DOAJ |
| description | Background. A combination of the reduction mammoplasty technique and breast reconstruction allows surgeons to lift ptotic breasts through local flaps and skin reduction during surgery for breast cancer. This study presents a reliable course for the combination of partial and skin or nipple-sparing mastectomy with reduction-reconstruction surgery. Methods. Fifty-seven patients underwent a partial mastectomy before reduction mammoplasty of both breasts during the same time period between 2014 and 2021 at our institution and thirteen patients underwent skin or nipple-sparing mastectomy, breast reconstruction with an extended latissimus dorsi flap or silicone implant, and aesthetic reduction mammoplasty of the contralateral breast during the same time period. Additional photos were obtained preoperatively, immediately after the operation, and at one, three, six, and twelve months postoperatively. Patient satisfaction was evaluated preoperatively and postoperatively and postoperative complications were noted. Results. Among the patients who underwent a partial mastectomy, the mean age was 45.18 ± 11.05 years, the mean body mass index (BMI) was 26.74 ± 3.53 kg/m2, and the mean preoperative right and left breast volumes were 663.85 (±28.12) cc and 664.34 (±37.13) cc, respectively, and the mean excised mass weight was 177.74 (±213.93) g. Among the patients who underwent a skin-sparing mastectomy, the mean age was 51.62 ± 8.96 years, the mean BMI was 26.91 ± 4.34 kg/m2, and the mean preoperative right and left breast volumes were 624.17 (±98.52) cc and 562.31 (±80.81) cc, respectively, and the mean excised mass weight was 618.05 (±338.17) g. Four patients (5.3%) in the partial mastectomy group had fat necrosis. The mean patient satisfaction score was higher postoperatively in both groups. Conclusion. Patients with breast cancer and large and/or ptotic breasts can successfully undergo reduction mammoplasty for both breasts immediately following partial mastectomy and nipple or skin-sparing mastectomy. |
| format | Article |
| id | doaj-art-ca09e1e34bc0421a9f229bf10641527d |
| institution | Kabale University |
| issn | 1524-4741 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Breast Journal |
| spelling | doaj-art-ca09e1e34bc0421a9f229bf10641527d2025-02-03T01:07:57ZengWileyThe Breast Journal1524-47412022-01-01202210.1155/2022/2952322Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and ReconstructionJong Ho Lee0Jeong Yeop Ryu1Kang Young Choi2Jung Dug Yang3Ho Yun Chung4Byung Chae Cho5Byeongju Kang6Jeeyeon Lee7Ho Yong Park8Joon Seok Lee9Department of Plastic and Reconstructive SurgeryDepartment of Plastic and Reconstructive SurgeryDepartment of Plastic and Reconstructive SurgeryDepartment of Plastic and Reconstructive SurgeryDepartment of Plastic and Reconstructive SurgeryDepartment of Plastic and Reconstructive SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of Plastic and Reconstructive SurgeryBackground. A combination of the reduction mammoplasty technique and breast reconstruction allows surgeons to lift ptotic breasts through local flaps and skin reduction during surgery for breast cancer. This study presents a reliable course for the combination of partial and skin or nipple-sparing mastectomy with reduction-reconstruction surgery. Methods. Fifty-seven patients underwent a partial mastectomy before reduction mammoplasty of both breasts during the same time period between 2014 and 2021 at our institution and thirteen patients underwent skin or nipple-sparing mastectomy, breast reconstruction with an extended latissimus dorsi flap or silicone implant, and aesthetic reduction mammoplasty of the contralateral breast during the same time period. Additional photos were obtained preoperatively, immediately after the operation, and at one, three, six, and twelve months postoperatively. Patient satisfaction was evaluated preoperatively and postoperatively and postoperative complications were noted. Results. Among the patients who underwent a partial mastectomy, the mean age was 45.18 ± 11.05 years, the mean body mass index (BMI) was 26.74 ± 3.53 kg/m2, and the mean preoperative right and left breast volumes were 663.85 (±28.12) cc and 664.34 (±37.13) cc, respectively, and the mean excised mass weight was 177.74 (±213.93) g. Among the patients who underwent a skin-sparing mastectomy, the mean age was 51.62 ± 8.96 years, the mean BMI was 26.91 ± 4.34 kg/m2, and the mean preoperative right and left breast volumes were 624.17 (±98.52) cc and 562.31 (±80.81) cc, respectively, and the mean excised mass weight was 618.05 (±338.17) g. Four patients (5.3%) in the partial mastectomy group had fat necrosis. The mean patient satisfaction score was higher postoperatively in both groups. Conclusion. Patients with breast cancer and large and/or ptotic breasts can successfully undergo reduction mammoplasty for both breasts immediately following partial mastectomy and nipple or skin-sparing mastectomy.http://dx.doi.org/10.1155/2022/2952322 |
| spellingShingle | Jong Ho Lee Jeong Yeop Ryu Kang Young Choi Jung Dug Yang Ho Yun Chung Byung Chae Cho Byeongju Kang Jeeyeon Lee Ho Yong Park Joon Seok Lee Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction The Breast Journal |
| title | Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction |
| title_full | Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction |
| title_fullStr | Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction |
| title_full_unstemmed | Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction |
| title_short | Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction |
| title_sort | useful reduction mammoplasty technique in oncoplastic breast surgery and reconstruction |
| url | http://dx.doi.org/10.1155/2022/2952322 |
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