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Selection of Implants in Unilateral Prosthetic Breast Reconstruction and Contralateral Augmentation

 Seung Yong Song  ;  Dae Hyun Lew  ;  Dong Won Lee 
 Archives of Plastic Surgery, Vol.44(5) : 413-419, 2017 
Journal Title
 Archives of Plastic Surgery 
Issue Date
Breast implant ; Breast reconstruction ; Mammaplasty
BACKGROUND: In breast reconstruction using implants after unilateral mastectomy, it is challenging to create a natural, ptotic contour, and asymmetry is a potential drawback. To achieve breast symmetry and an ideal shape for both breasts, we performed contralateral augmentation in patients undergoing breast reconstruction with implants. METHODS: Patients underwent unilateral mastectomy and 2-stage reconstruction. During the second stage of the procedure, contralateral augmentation mammoplasty was performed. Preoperatively, we obtained the patients' demographic information, and we then assessed breast volume, the volume and dimensions of the inserted implants, and complications. Breast symmetry was observed by the surgeon and was assessed by measuring the disparity between the final volume of each breast. RESULTS: Contralateral augmentation was performed in 52 cases. When compared to patients who did not undergo a contralateral balancing procedure, patients who received contralateral augmentation were younger, thinner, and had smaller breasts. During implant selection for contralateral augmentation, we chose implants that were approximately 1 cm shorter in width, 1 level lower in height, and 1 or 2 levels lower in projection than the implants used for reconstruction. The postoperative breast contours were symmetric and the final volume discrepancy between each breast, which was measured by 3-dimensional scanning, was acceptable. CONCLUSIONS: We demonstrate that contralateral augmentation can be recommended for patients who perceive their breasts to be small and not beautiful in order to achieve an ideal and beautiful shape for both breasts. Furthermore, this study offers guidelines for selecting the implant that will lead to the optimal aesthetic outcome.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실)
Yonsei Authors
김수정(Kim, Soo Jung)
송승용(Song, Seung Yong) ORCID logo https://orcid.org/0000-0002-3145-7463
유대현(Lew, Dae Hyun)
이동원(Lee, Dong Won) ORCID logo https://orcid.org/0000-0003-0046-3139
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