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Bilateral breast reconstruction and pectus excavatum correction: a case and review of the literature

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Abstract

Pectus excavatum is a chest wall malformation characterized by anterior chest wall depression. It is often associated with hypoplastic breasts, sternal rotation, and consequent breast asymmetry. We present here the case of a 52-year-old female with pectus excavatum, a bilateral nipple-sparing mastectomy for breast cancer, and immediate autologous breast reconstruction using bilateral deep inferior epigastric perforator flaps. To correct reconstructed breast deformities and pectus excavatum depression and to enhance breast volume to treat hypoplastic breasts, three sessions of Brava-assisted fat grafting were performed. These postoperative courses were uneventful and without any complications. The patient was satisfied with the final esthetic results. There are only two case reports to perform bilateral breast reconstruction and surgical correction of pectus excavatum, which were used with both pedicle musculocutaneous flap and breast implant, with or without a sternal implant. In this study, we discuss indications and surgical options for bilateral breast reconstruction, pectus excavatum, and breast augmentation.

Level of Evidence: Level V, therapeutic study.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan

    Toshihiko Satake & Mayu Muto

  2. Department of Plastic and Aesthetic Surgery, KO Clinic for Antiaging, 4-54 Onoe-cho, Naka-ku, Yokohama, Kanagawa, 231-0015, Japan

    Seiko Kou

  3. Department of Plastic Surgery, Cosmetic Surgery and Skin Beauty Dermatology, JUN CLINIC, 1402 Kita Ishido-cho, Nagano, Nagano, 380-0826, Japan

    Jun Sugawara

  4. Department of Breast and Thyroid Surgery, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan

    Kazutaka Narui

  5. Department of Plastic and Reconstructive Surgery, Kanagawa Children’s Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, Kanagawa, 232-8555, Japan

    Shinji Kobayashi

  6. Department of Breast Surgery, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjyuku-ku, Tokyo, 160-0023, Japan

    Takashi Ishikawa

  7. Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan

    Jiro Maegawa

Authors
  1. Toshihiko Satake
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  2. Mayu Muto
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  3. Seiko Kou
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  4. Jun Sugawara
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  5. Kazutaka Narui
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  6. Shinji Kobayashi
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  7. Takashi Ishikawa
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  8. Jiro Maegawa
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Corresponding author

Correspondence to Toshihiko Satake.

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Conflict of interest

Toshihiko Satake, Mayu Muto, Seiko Kou, Jun Sugawara, Kazutaka Narui, Shinji Kobayashi, Takashi Ishikawa and Jiro Maegawa declare that they have no conflicts of interest.

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For this type of study formal consent is not required.

Informed consent

Informed consent was obtained from the patient before her inclusion in this study.

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Satake, T., Muto, M., Kou, S. et al. Bilateral breast reconstruction and pectus excavatum correction: a case and review of the literature. Eur J Plast Surg 42, 95–100 (2019). https://doi.org/10.1007/s00238-018-1449-5

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  • DOI: https://doi.org/10.1007/s00238-018-1449-5

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