Abstract
Patients asking for cosmetic breast surgery often appreciate that their breasts have an unpleasing appearance, but they often do not have a full appreciation of the degree of potential anatomic abnormalities of the chest wall and of the specific anatomical characteristics, which require a meticulous surgical planning and techniques in comparison with a standard breast cosmetic surgery. Failure to recognize this will predispose the patient to an unsatisfactory outcome and secondary deformities. To maximize surgical predictability and patients’ satisfaction, the authors proposed a two-stage approach in the scenario of patients presenting with chest wall deformities and asking for breast augmentation. However, as we contemplate adopting the authors’ approach to our case, we anticipate encountering two primary challenges. Firstly, utilizing custom-made 3D silicone implants might exacerbate the projection of the chondrocostal prominence present in our patient. Indeed, we believe that these implants are more beneficial for addressing concave defects (such as pectus excavatum) rather than convex prominences, as observed in our case.
Level of Evidence V 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.
References
Berkane Y, Chaput B, Bertheuil N (2024) A two-step approach for breast augmentation with chest wall deformity? Aesthetic Plast Surg. https://doi.org/10.1007/s00266-024-03883-9
Ioppolo L, Alessandri Bonetti M, De Lorenzi F (2023) Tuberous breasts associated with chest wall deformity: a challenging planning for breast augmentation. Aesthetic Plast Surg. https://doi.org/10.1007/s00266-023-03784-3
Herlin C, Bekara F, Berthet JP, Dast S, Michot A, Bertheuil N (2017) Contributions of combined techniques in the personalized treatment of pectus excavatum. Plast Reconstr Surg 139(1):321e–322e. https://doi.org/10.1097/PRS.0000000000002883
Alessandri Bonetti M, Carbonaro R, Borelli F et al (2022) Outcomes in hybrid breast reconstruction: a systematic review. Medicina 58(9):1232. https://doi.org/10.3390/medicina58091232
Ioppolo L, Amenta A, Alessandri-Bonetti M et al (2023) One-step glandular reconstruction after breast implant removal: technical refinements and grafting of the inferior dermoglandular flap. Plast Reconstr Surg Glob Open 11(9):e5247. https://doi.org/10.1097/GOX.0000000000005247
Funding
The authors received no financial support for the publication of this article
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest to declare.
Human and Animal Rights
This article does not contain any studies with human participants or animals performed by any of the authors
Informed Consent
For this type of study, informed consent is not required
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ioppolo, L., Alessandri Bonetti, M. & De Lorenzi, F. Reply to: A Two-Step Approach for Breast Augmentation with Chest Wall Deformity?. Aesth Plast Surg (2024). https://doi.org/10.1007/s00266-024-03925-2
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s00266-024-03925-2