Reduction mastoplasty with submuscular implants for breast symmetrization in patients undergoing mastectomy

Abstract

INTRODUCTION: Breast reconstruction with expanders/implants is one of the most common techniques used for the treatment of mastectomy-induced sequelae, due to the reduced surgical time and morbidity. However, the maintenance of long-term symmetrization in the contralateral breast remains a major challenge. The procedure of reduction mastoplasty has been developed, and is performed by positioning a submuscular implant in the contralateral breast of patients undergoing breast reconstruction. METHODS: A total of 31 patients were included in the study. Their primary characteristics were glandular resection, combined with implant insertion in the subpectoral plane. Complications, shape, symmetry, and volume were subsequently evaluated. RESULTS: A low incidence of complications and surgical revisions was observed, with no cases of implant loss. Good breast symmetry was achieved. CONCLUSION: Reduction mastoplasty with submuscular implants proved to be a safe procedure, and resulted in good breast symmetry in patients who underwent mastectomy.

Keywords

• breast neoplasms
• mammoplasty
• breast implant
• mastectomy