Immediate bilateral breast reconstruction after skinsparing mastectomy: cross-sectional incision and implants in mixed plane

Immediate bilateral breast reconstruction after skinsparing mastectomy: cross-sectional incision and implants in mixed plane

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Introduction: Complications in immediate breast reconstruction after skin-preserving mastectomies are recurrent.The authors describe conduct to reduce them and 1307 rough country improve the anatomical/esthetic result using implants.The objective is to reduce the incidence of areolar necrosis, improve breast projection in reconstructions with submuscular implants, recover partial or total sensitivity, and facilitate symmetrization.

Method: The mastectomy involves a lateral transverse incision from the areolar border to the armpit.Repair with implants included in a mixed plane by divulsion of the pectoral muscle, dividing it into two portions in the direction of its fibers, the association of the serratus muscle fascia and inferior/lateral subcutaneous tissue, and/or pectoralis minor muscle in the superolateral area.The incision is sutured when there is no breast ptosis or superimposed by de-epidermization of one of the borders, which may include a reduction in diameter and relocation of the areola.

Or fusiform de-epidermization of the periareolar skin and medially to it.The contralateral risk-reducing mastectomy had a similar procedure, improving symmetry.Results: 106 patients (212 breasts) were operated on with satisfactory results and complications due to infection, positioning of the implants on the learning curve, and surface irregularities.

Conclusion: Immediate breast reconstruction after skin-preserving mastectomy by the proposed method is a possible option, obtaining good breast symmetrization and projection, return of sensitivity, bostik universal primer pro and absence of total necrosis of the areola.