Immediate breast reconstruction is an acceptable treatment option after mastectomy for prophylaxis of early breast cancer.
Different options exist for implant placement, incision technique, patient suitability, and institutional experience. This article is a case series exploring the feasibility and outcomes of patients undergoing immediate breast reconstruction using skin-sparing mastectomy without mesh or acellular dermal matrix ADM and with a vertical inframammary incision.
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A single-institution retrospective analysis was performed for all patients who underwent immediate single-stage reconstruction with subcutaneous silicon implants without ADM between and inclusive. Patient, Geneva housing Melbourne and treatment variables were extracted.
The majority of complications were imlants as minor affecting There were 20 episodes of complications overall. There was 1 episode of capsular contracture. Skin-sparing mastectomy with immediate subcutaneous silicon implant reconstruction with a vertical incision and without the need for mesh or ADM is an acceptable and safe treatment option. Bteast patient selection and skin flap viability is the key to achieving optimal outcomes with this approach.
Skin-sparing mastectomy SSM has proven to be an effective treatment for prophylactic mastectomy, and there is a growing consensus of its role in appropriately implajts patients with early breast cancer. However, ADM is not without its drawbacks and has been shown to have higher rates of seroma, infection rates, mastectomy flap necrosis compared with the non-ADM reconstruction.
Earlier studies evaluating subcutaneous placement of implants suggested that it was inferior to subpectoral placement. Higher rates of contractures, implant loss, and displacement were often sited, particularly in irradiated breasts. Another important consideration in reconstruction is the choice of incision.
The incisions typically used in SSM include radial, transverse periareolar, lateral, inferolateral, double concentric periareolar, vertical infraareolar, or inframammary approaches.
The choice of incision type in combination with other patient factors including body mass index, smoking, and radiotherapy affect the rate of skin necrosis and overall complications. Vertical infraareolar incisions have anatomical Breast implants Maroubra in optimizing perfusion around nipple areolar complex by preserving the superior and inferior blood vessel supply. We chose to take the next logical step to assess as a case series the feasibility of subcutaneous single-stage implant-based reconstruction without the use of ADM.
The justification for this approach is to avoid the morbidity and animation deformity associated with subpectoral placement of implants and to improve the cost-effectiveness by eliminating a second-stage operation and ADM. This report presents a single-institution experience with SSM using a vertical infraareolar incision and single-stage reconstruction using subcutaneous silicone implants without ADM.
Indications, complications, and outcomes Group dating website in Australia this technique are explored.
A single-institution retrospective analysis was performed for all patients who underwent immediate subcutaneous single-stage reconstruction after SSM between and inclusive.
Postoperative episodes Online horoscope Kalgoorlie minor infection, major infection, malrotation, contractures, hematoma, seroma, skin necrosis, and implant loss from any cause Brexst recorded.
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Disclosure: The authors have no financial interest to declare in relation to The sheryll princess in Australia content of this article.
The suitability for subcutaneous placement of implants was subsequently decided by the senior author. Can J Plast Surg.
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Nevertheless, all fat grafting cases were managed with day-only procedures with no Hinday sex in Australia complications. Immediate placement of implants in breast reconstruction: patient selection and outcomes. Advances in nipple-sparing mastectomy: oncological safety and incision selection. June This article reports experience with subcutaneous implants and immediate reconstructive surgery after SSM with a vertical inframammary incision.|Are you looking for highly experienced, professional breast augmentation surgeons in Sydney who offer personalised Breast implants Maroubra tailored to suit your aesthetic goals?
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