Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstruction
Background Implant-based immediate breast reconstruction surgery with nipple-sparing mastectomy has recently been favored by patients. However, in patients who do not wish to undergo balancing procedures, it is difficult to select the appropriate implant size, making it challenging to achieve a symm...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2023-07-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2022-00689.pdf |
| _version_ | 1797755711447367680 |
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| author | Jung Yeol Seo Seung Hyun Kim Jae Woo Lee Min Wook Kim Dae Kyun Jeong Seong Hwan Bae Hyun Yul Kim Youn Joo Jung Su Bong Nam |
| author_facet | Jung Yeol Seo Seung Hyun Kim Jae Woo Lee Min Wook Kim Dae Kyun Jeong Seong Hwan Bae Hyun Yul Kim Youn Joo Jung Su Bong Nam |
| author_sort | Jung Yeol Seo |
| collection | DOAJ |
| description | Background Implant-based immediate breast reconstruction surgery with nipple-sparing mastectomy has recently been favored by patients. However, in patients who do not wish to undergo balancing procedures, it is difficult to select the appropriate implant size, making it challenging to achieve a symmetrical breast shape. Therefore, this study investigated the differences in breast asymmetry and other complications in patients who underwent a two-stage procedure or direct-to-implant (DTI) breast reconstruction to determine whether the two-stage procedure can produce more favorable outcomes. Methods The participants of this study were patients who underwent immediate two-stage breast reconstruction or DTI breast reconstruction from May 2018 to April 2022, did not receive postoperative radiotherapy, and did not wish to undergo any balancing procedures. An acellular dermal matrix was used for breast reconstruction in all patients, and a single reconstructive surgeon performed all the operations. Statistical significance was set at P<0.05. Results No significant differences in complications were found between the patients who underwent DTI breast reconstruction and those who underwent two-stage breast reconstruction. In the two-stage breast reconstruction group, breast volume asymmetry was observed in 18.4% (seven patients), which was significantly lower than the percentage of 44.7% (17 patients) observed in the DTI group. Conclusions Breast asymmetry was observed in a significant proportion of the patients in both groups. However, because breast volume asymmetry was more common in the DTI group than in the two-stage breast reconstruction group, two-stage breast reconstruction may be a favorable method for patients who do not wish to undergo balancing procedures. |
| first_indexed | 2024-03-12T17:51:07Z |
| format | Article |
| id | doaj.art-0038c6a6051e40b1b96010f632f01460 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-03-12T17:51:07Z |
| publishDate | 2023-07-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-0038c6a6051e40b1b96010f632f014602023-08-03T06:11:18ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372023-07-0129313614010.14730/aaps.2022.00689809Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstructionJung Yeol Seo0Seung Hyun Kim1Jae Woo Lee2Min Wook Kim3Dae Kyun Jeong4Seong Hwan Bae5Hyun Yul Kim6Youn Joo Jung7Su Bong Nam8 Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, KoreaBackground Implant-based immediate breast reconstruction surgery with nipple-sparing mastectomy has recently been favored by patients. However, in patients who do not wish to undergo balancing procedures, it is difficult to select the appropriate implant size, making it challenging to achieve a symmetrical breast shape. Therefore, this study investigated the differences in breast asymmetry and other complications in patients who underwent a two-stage procedure or direct-to-implant (DTI) breast reconstruction to determine whether the two-stage procedure can produce more favorable outcomes. Methods The participants of this study were patients who underwent immediate two-stage breast reconstruction or DTI breast reconstruction from May 2018 to April 2022, did not receive postoperative radiotherapy, and did not wish to undergo any balancing procedures. An acellular dermal matrix was used for breast reconstruction in all patients, and a single reconstructive surgeon performed all the operations. Statistical significance was set at P<0.05. Results No significant differences in complications were found between the patients who underwent DTI breast reconstruction and those who underwent two-stage breast reconstruction. In the two-stage breast reconstruction group, breast volume asymmetry was observed in 18.4% (seven patients), which was significantly lower than the percentage of 44.7% (17 patients) observed in the DTI group. Conclusions Breast asymmetry was observed in a significant proportion of the patients in both groups. However, because breast volume asymmetry was more common in the DTI group than in the two-stage breast reconstruction group, two-stage breast reconstruction may be a favorable method for patients who do not wish to undergo balancing procedures.http://e-aaps.org/upload/pdf/aaps-2022-00689.pdfmammaplastybreast implantscomplication |
| spellingShingle | Jung Yeol Seo Seung Hyun Kim Jae Woo Lee Min Wook Kim Dae Kyun Jeong Seong Hwan Bae Hyun Yul Kim Youn Joo Jung Su Bong Nam Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstruction Archives of Aesthetic Plastic Surgery mammaplasty breast implants complication |
| title | Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstruction |
| title_full | Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstruction |
| title_fullStr | Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstruction |
| title_full_unstemmed | Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstruction |
| title_short | Differences in complications and asymmetry in patients who did not receive a balancing procedure in two-stage and direct-to-implant breast reconstruction |
| title_sort | differences in complications and asymmetry in patients who did not receive a balancing procedure in two stage and direct to implant breast reconstruction |
| topic | mammaplasty breast implants complication |
| url | http://e-aaps.org/upload/pdf/aaps-2022-00689.pdf |
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