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Contralateral Augmentation with a Transmidline Scarless Technique During Unilateral Breast Reconstruction Using
Olivia A Ho1, Yi-Ling Lin1, Jung-Ju Huang1
1Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and Center of Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Taiwan.
The Contralateral Augmentation Transmidline Scarless (CATS) technique safely achieves breast symmetry during unilateral reconstruction. While the reconstructed side had more complications, CATS offers desirable aesthetic outcomes with minimal risk.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Unilateral breast reconstruction presents challenges in achieving symmetry.
- Simultaneous contralateral augmentation is often desired for aesthetic balance.
Purpose of the Study:
- To investigate the outcomes of the Contralateral Augmentation Transmidline Scarless (CATS) technique.
- To assess the safety and efficacy of CATS for simultaneous contralateral breast augmentation during unilateral reconstruction.
Main Methods:
- Retrospective study of patients undergoing unilateral implant-based reconstruction with simultaneous contralateral augmentation (Jan 2004 - Jul 2016).
- Assessment of patient characteristics, complication rates, and revision rates associated with the CATS technique.
Main Results:
- The CATS technique was used in 91.5% of eligible patients.
- The reconstructed breast had significantly higher rates of implant exposure and total complications compared to the augmented breast.
- Revision rates for implant change were higher on the reconstructed side. Saline implants showed higher rates of necrosis than silicone implants.
Conclusions:
- The CATS technique is a safe and effective method for unilateral breast reconstruction.
- It provides desirable aesthetic outcomes and symmetry with minimal risk of symmastia.
- Surgeons should be aware of the higher complication and revision rates on the reconstructed side.
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