Skip to main content

Contralateral Reduction Mammaplasty for Symmetrization

  • Chapter
  • First Online:
Breast Cancer Essentials

Abstract

Level 2 oncoplastic surgery causes significant asymmetry of the nipple-areolar complex (NAC) and the volume between the two breasts, requiring contralateral breast symmetrization. Symmetrization can be performed immediately or in a few months after the completion of adjuvant radiotherapy applied to the breast tissue with cancer. Reduction mammaplasty is almost always performed for contralateral breast symmetrization. The main purpose is to symmetrize the volume and NAC position of the contralateral breast without interfering with the breast that underwent cancer surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 84.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Greydanus DE, Parks DS, Farrell EG. Breast disorders in children and adolescents. Pediatr Clin N Am. 1989;36:601–6.

    Article  CAS  Google Scholar 

  2. Arca MJ, Caniano DA. Breast disorders in the adolescent patient. Adolesc Med. 2004;15:473–85.

    Article  Google Scholar 

  3. De Vita R, Buccheri EM, Villanuchi A, Ragusa LA. Breast asymmetry, classification, and algorithm of treatment: our experience. Aesthet Plast Surg. 2019;43(6):1439–50.

    Article  Google Scholar 

  4. Losken A, Carlson GW, Bostwick J 3rd, Jones GE, Culbertson JH, Schoemann M. Trends in unilateral breast reconstruction and management of the contralateral breast: the Emory experience. Plast Reconstr Surg. 2002;110(1):89–97.

    Article  Google Scholar 

  5. Hudson DA. Factors determining shape and symmetry in immediate breast reconstruction. Ann Plast Surg. 2004;52(1):15–21.

    Article  Google Scholar 

  6. De Biasio F, Zingaretti N, De Lorenzi F, Riccio M, Vaienti L, Parodi PC. Reduction mammoplasty for breast symmetrisation in implant-based reconstructions. Aesthet Plast Surg. 2017;41(4):773–81.

    Article  Google Scholar 

  7. Schrenk P, Wölfl S, Bogner S, Huemer GM, Wayand W. Symmetrization reduction mammoplasty combined with sentinel node biopsy in patients operated for contralateral breast cancer. J Surg Oncol. 2006;94(1):9–15.

    Article  Google Scholar 

  8. Kheirelseid EA, Jumustafa H, Miller N, Curran C, Sweeney K, Malone C, et al. Bilateral breast cancer: analysis of incidence, outcome, survival and disease characteristics. Breast Cancer Res Treat. 2011;126:131–40.

    Article  Google Scholar 

  9. Sorin T, Fyad JP, Pujo J, Colson T, Bordes V, Leroux A, Marchal F, Brix M, Simon E, Verhaeahe JL, Classe JM, Dolivet G. Incidence of occult contralateral carcinomas of the breast following mastoplasty aimed at symmetrization. Ann Chir Plast Esthet. 2014;59(2):21–8.

    Article  Google Scholar 

  10. Ozmen S, Yavuzer R, Latifoglu O, et al. Coincidental breast carcinoma detection in reduction mammoplasty specimens. Plast Reconstr Surg. 2000;106:1219–20.

    Article  CAS  Google Scholar 

  11. Keleher AJ, Langstein HN, Ames FC, et al. Breast cancer in reduction mammoplasty specimens: case reports and guidelines. Breast J. 2003;9:120–5.

    Article  Google Scholar 

  12. Colwell AS, Kukreja J, Breuing KH, et al. Occult breast carcinoma in reduction mammoplasty specimens: 14-year experience. Plast Reconstr Surg. 2004;113:1984–8.

    Article  Google Scholar 

  13. Rizki H, Nkonde C, Ching RC, Kumiponjera D, Malata CM. Plastic surgical management of the contralateral breast in post-mastectomy breast reconstruction. Int J Surg. 2013;11(9):767–72.

    Article  CAS  Google Scholar 

  14. Wade RG, Marongiu F, Sassoon EM, Haywood RM, Ali RS, Figus A. Contrlateral breast symmetrisation in unilateral DIEP flap breast reconstruction. J Plast Reconstr Aesthet Surg. 2016;69(10):1363–73.

    Article  Google Scholar 

  15. Kaviani A, Safavi A, Mirsharifi R. Immediate and delayed contralateral symmetrization in oncoplastic breast reduction: patient2 s choices and technique formulation. Plast Reconstr Surg Glob Open. 2015;3(1):e286.

    Article  Google Scholar 

  16. Chae MP, Rozen WM, Spychal RT, Hunter-Smith DJ. Breast volumetric analysis for aesthetic planning in breast reconstruction: a literature review of techniques. Gland Surg. 2016;5(2):212–26.

    PubMed  PubMed Central  Google Scholar 

  17. Regnault P. Breast ptosis: definition and treatment. Clin Plast Surg. 1976;3:193–203.

    Article  CAS  Google Scholar 

  18. Benelli L. A new periareolar mammoplasty: the “round block” technique. Aesthet Plast Surg. 1990;14:93–100.

    Article  CAS  Google Scholar 

  19. Felicio Y. Periareolar reduction mammoplasty. Plast Reconstr Surg. 1991;88:789–98.

    Article  CAS  Google Scholar 

  20. Goes JC. Periareolar mammoplasty: double skin technique with application of polyglactine or mixed mesh. Plast Reconstr Surg. 1996;97:959–68.

    Article  CAS  Google Scholar 

  21. Fayman MS, Potgieter E, Becker PJ. Outcome study: periareolar mammoplasty patients’ perspective. Plast Reconstr Surg. 2003;111:676–84.

    Article  CAS  Google Scholar 

  22. Dartigues L. Traitement chirurgical du prolapses mammaire. Arch Franco Belg Chir. 1925;28:313.

    Google Scholar 

  23. Arie G. Una nueva tecnica de mastoplastia. Rev Latinoam Cir Plast. 1957;3:23.

    Google Scholar 

  24. Lassus C. Possibilite’s et limites de la chirurgie plastique de la silhouette fe’minine. Hopital. 1969;801:575.

    Google Scholar 

  25. Lassus C. A technique for breast reduction. Int Surg. 1970;53:69.

    CAS  PubMed  Google Scholar 

  26. Lejour M. Vertical mammoplasty and liposuction of the breast. Plast Reconstr Surg. 1994;94:100.

    Article  CAS  Google Scholar 

  27. Lista F, Ahmad J. Vertical scar reduction mammoplasty: a 15-year experience including a review of 250 consecutivecases. Plast Reconstr Surg. 2006;117(7):2152–65.

    Article  CAS  Google Scholar 

  28. Wise RJ. A preliminary report on a method of planning the mammoplasty. Plast Reconstr Surg. 1956;17:367–75.

    Article  CAS  Google Scholar 

  29. Wise RJ, Gannon JP, Hill JR. Further experience with reduction mammoplasty. Plast Reconstr Surg. 1963;32:12–20.

    Article  CAS  Google Scholar 

  30. Wise J. Treatment of breast hypertrophy. Clin Plast Surg. 1976;3(2):289–300.

    Article  CAS  Google Scholar 

  31. McKissock PK. Reduction mammoplasty with a vertical dermal flap. Plast Reconstr Surg. 1972;49(3):245–52.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Authors wish to thank Mrs. Gokce Taniyan and Mrs. Nilay Gurel for illustrations and editing assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mehmet Ali Kocdor .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Silistreli, O., Kocdor, M.A. (2021). Contralateral Reduction Mammaplasty for Symmetrization. In: Rezai, M., Kocdor, M.A., Canturk, N.Z. (eds) Breast Cancer Essentials. Springer, Cham. https://doi.org/10.1007/978-3-030-73147-2_38

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-73147-2_38

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-73146-5

  • Online ISBN: 978-3-030-73147-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics