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Single stage immediate prosthetic breast and nipple-areolar complex reconstruction with simultaneous contralateral symmetrisation

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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

The authors present a case report of a patient with two foci carcinoma of the left breast. The selected therapeutic surgical indication was a left skin sparing mastectomy with amputation of the nipple-areolar complex, immediate breast reconstruction and contralateral breast reduction for symmetrisation. The redundant skin of the right areola was used as a spiral graft to reconstruct the left areola. The reconstruction of the left amputated breast was immediately obtained by placing a permanent anatomical breast implant in a subpectoral position in the superior half and in a retro-dermoadipose flap position in the inferior half (dual plane technique). The weight difference between the mastectomy side and the reduction side gave the calculated implant size of the procedure. This one stage technique achieved a good end-result considering symmetry and shape. The 3.5 years follow-up revealed no complications, no recurrence and aesthetic quality.

Level of Evidence: Level V, therapeutic study.

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Conflicts of interest

None.

Patient consent

Patients provided written consent for the use of their images.

Ethical standards

This study has been approved by the appropriate ethics committee and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Patient gave the informed consent prior to the inclusion in this study.

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Authors and Affiliations

  1. Plastic Reconstructive Craniomaxillofacial and Microsurgical Unit, Centro Hospitalar de Vila Nova de Gaia, Rua Conceição Fernandes, Vila Nova de Gaia, 4434-502, Portugal

    Augusta Cardoso, Gustavo Coelho, João Martins & Horácio Costa

  2. General Surgery Department, Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal

    Joana Esteves & Carmen Carvalho

Authors
  1. Augusta Cardoso
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  2. Gustavo Coelho
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  3. João Martins
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  4. Joana Esteves
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  5. Carmen Carvalho
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  6. Horácio Costa
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Corresponding author

Correspondence to Augusta Cardoso.

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Cardoso, A., Coelho, G., Martins, J. et al. Single stage immediate prosthetic breast and nipple-areolar complex reconstruction with simultaneous contralateral symmetrisation. Eur J Plast Surg 38, 241–244 (2015). https://doi.org/10.1007/s00238-014-1051-4

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  • DOI: https://doi.org/10.1007/s00238-014-1051-4

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