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One-Staged Silicone Implant Breast Reconstruction Following Bilateral Nipple-Sparing Prophylactic Mastectomy in Patients at High-Risk for Breast Cancer

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Abstract

Background

There is little consensus regarding the indications, ideal incision, or reconstruction method for prophylactic mastectomy. In addition, the biggest limitation in studies that assess either patient satisfaction or operation results is the lack of group homogeneity.

Methods

In our center, 21 bilateral prophylactic mastectomies, due to breasts at high risk for cancer, and simultaneous breast reconstruction using submuscular medium-height high-profile silicone implants were performed between 2008 and 2012. The patients were divided into two groups: small-breasted (9 patients) and large/ptotic-breasted (12 patients). A periareolar incision was used in the 9 patients and a vertical mastopexy incision was used in the 12 patients who needed nipple–areola complex repositioning.

Results

The rates of general satisfaction and aesthetic outcomes, assessed using the Michigan Breast Satisfaction Questionnaire, were 100 and 90.4 %, respectively. Seroma occurred in three patients and venous congestion of the nipple–areola complex developed in four patients, which resolved spontaneously. No nipple–areola necrosis, implant exposition, or capsule contractures were encountered. Only three patients underwent fat injection for contour restoration.

Conclusion

We obtained very good aesthetic results with low complication rates using this technique in a homogeneous group of patients.

Level of Evidence III

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.

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Disclosures

The authors have no conflicts of interest or any financial ties to disclose.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey

    Ismail Sahin, Selcuk Isik, Dogan Alhan & Andac Aykan

  2. Department of General Surgery, Gulhane Military Medical Academy, Ankara, Turkey

    Ramazan Yıldız & Erkan Ozturk

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  1. Ismail Sahin
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  2. Selcuk Isik
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  3. Dogan Alhan
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  4. Ramazan Yıldız
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  5. Andac Aykan
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  6. Erkan Ozturk
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Correspondence to Ismail Sahin.

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Sahin, I., Isik, S., Alhan, D. et al. One-Staged Silicone Implant Breast Reconstruction Following Bilateral Nipple-Sparing Prophylactic Mastectomy in Patients at High-Risk for Breast Cancer. Aesth Plast Surg 37, 303–311 (2013). https://doi.org/10.1007/s00266-012-0044-6

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  • DOI: https://doi.org/10.1007/s00266-012-0044-6

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