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Published on: May 17, 2024
Simultaneous scarless contralateral breast augmentation during unilateral breast reconstruction using bilateral
Jung-Ju Huang1, Li-Fen Chao, Chih-Wei Wu
1Taoyuan, Taiwan From the Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, and the Department of Nursing, Chang Gung University of Science and Technology.
Simultaneous scarless breast augmentation using bilateral differentially split deep inferior epigastric perforator (DIEP) flaps achieved a 100% success rate in unilateral breast reconstruction. Patients reported high satisfaction and improved psychosocial and sexual well-being post-procedure.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Simultaneous contralateral augmentation is crucial for symmetry in unilateral breast reconstruction.
- Achieving aesthetically pleasing and symmetric breast mounds is a primary goal.
Purpose of the Study:
- To investigate the outcomes of simultaneous scarless contralateral augmentation combined with unilateral breast reconstruction.
- To evaluate the use of bilateral differentially split deep inferior epigastric perforator (DIEP) flaps for this procedure.
Main Methods:
- A prospective study involving six patients undergoing unilateral breast reconstruction and simultaneous contralateral augmentation.
- Utilized bilateral differentially split DIEP flaps, with ipsilateral internal mammary vessels as recipient vessels.
- Employed a flow-through anastomosis for the augmentation flap pedicle and endoscopic assistance for flap inset.
Main Results:
- Achieved a 100% flap survival rate, with one flap requiring successful reexploration.
- Mean flap weights for reconstruction and augmentation were 410g and 192g, respectively.
- Demonstrated statistically significant improvements in patient satisfaction, psychosocial function, and sexual well-being (p < 0.005).
Conclusions:
- Simultaneous scarless contralateral breast augmentation during unilateral reconstruction is feasible and safe.
- Bilateral differentially split DIEP flaps offer a viable option for achieving satisfactory aesthetic and functional outcomes.
- The procedure leads to high patient satisfaction and improved quality of life.
