Breast Reconstruction in Becker Nevus Syndrome

Area of Science:

• Dermatology
• Plastic Surgery
• Endocrinology

Background:

• Becker nevus syndrome is a rare condition characterized by hyperpigmented skin patches, hypertrichosis, and potential musculoskeletal abnormalities.
• Breast hypoplasia is a recognized manifestation, necessitating early treatment before full breast development.
• Limited established guidelines exist for breast reconstruction in affected individuals due to the condition's rarity.

Observation:

• A 37-year-old woman presented with significant breast asymmetry, including right-sided hypoplasia and left macromastia.
• She also had a hyperpigmented lesion on her right chest wall, consistent with Becker nevus syndrome.
• The patient had a history of hypertension.

Findings:

• A single-stage surgical approach involving right breast augmentation and left breast reduction was performed.
• The patient experienced no postoperative complications and reported high satisfaction with the improved symmetry.
• The procedure effectively addressed the breast asymmetry associated with Becker nevus syndrome.

Implications:

• This case highlights the importance of early surgical intervention for breast hypoplasia in Becker nevus syndrome.
• It demonstrates the feasibility and satisfactory outcomes of a single-stage reconstruction approach.
• Further research and awareness are needed, as Becker nevus syndrome in women may be underdiagnosed, impacting treatment timing.