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KMID : 0358820090360040503
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2009 Volume.36 No. 4 p.503 ~ p.506
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Breast Reconstruction Make Use of Contralateral Breast Tissue after Mastectomy
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Seul Jung-Hyun
Lim Young-Bin
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Abstract
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Purpose: Unilateral breast reconstruction after mastectomy confront the challenges of recreating a natural appearing breast mound and achieving symmetricalness of the breasts. If the patient’s remaining breast is large compared to reconstructed breast, the most common procedure is reduction mammoplasty of the large breast side. The authors experienced a new method of breast reconstruction using the excess breast tissue from the contralateral breast after breast reduction.
Methods: The excess tissue from the contralateral breast after vertical reduction mammoplasty with superior pedicle and remaining lower breast tissue were transferred to the mastectomy site breast through the subcutaneous tunnel on the chest wall. The main blood supplies of the flap are perforator branches of the 4th, 5th and 6th anterior intercostal artery. After elevating and detaching the flap on the lower lateral area of the breast, the turned over flap is fixed on the upper portion of the chest wall of the mastectomy site. Received January 13, 2009 Revised February 19, 2009 Accepted April 27, 2009 Address Correspondence: Jung Hyun Seul, M.D., Department of Plastic and Reconstructive Surgery, School of Medicine, Dongguk University, 1090-1 Sukjang-dong, Gyungju 780-350, Korea. Tel: 054)770-8241/Fax: 054)770-8160/E-mail: jhseul@ med.yu.ac.kr *본 논문은 2008년 대한성형외과학회 추계 학술대회에서 구연 발표되었음.
Results: On two cases of the breast reconstructions, remaining excess breast tissue from reduction mammoplasty was transferred to the contralateral breast side as pedicles. Both patient and operator were satisfied with the outcome of the reconstruction as the breasts were symmetrical and in natural shape.
Conclusion: We have performed unilateral breast reconstruction using the excess breast tissue after reduction mammoplasty of the contralateral breast. As Oriental women’s breasts are relatively smaller than those of Caucasian women, delayed breast reconstruction cases of Oriental women with large breasts(macromastia) seem to be ideal for this procedure.
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KEYWORD
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Breast reconstruction, Vertical reduction mammoplasty, Skin sparing mastectomy
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