Symmetrization using submuscular implants to achieve lasting results in breast reconstruction

ABSTRACT

Introduction:

In breast reconstruction with implants, ptosis is uncommon over time, in contrast to symmetrization mammoplasty without implants, which causes premature recurrence of breast asymmetry. The objective of this study was to describe the procedure and results of contralateral symmetrization mammoplasty with the use of submuscular implants.

Methods:

A total of 18 cases of symmetrization mammoplasty with submuscular implants performed over a 2-year period were retrospectively studied.

Results:

The most common comorbidity was obesity (p = 0.007). Obese patients had a higher volume of resected breast tissue (p = 0.0013). The mean follow-up was 13 months. The reoperation rate was 5.5% (1 case) for pseudoptosis. There were no implant infections. Complications included partial necrosis of the nipple-areola complex in 1 case, superficial wound dehiscence in 1 case, seroma in 3 cases, and moderate pain in 3 cases.

Conclusion:

Contralateral symmetrization mammoplasty with submuscular implants, associated with adequate emptying of breast tissue, provided long-lasting results with a low rate of complications, minimizing the sequelae of mastectomy.

Keywords:
Mammoplasty; Breast implant; Mastectomy; Breast cancer.