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Plast Reconstr Surg Glob Open. 2017 May 19;5(5):e1298. doi: 10.1097/GOX.0000000000001298. eCollection 2017 May.

Contralateral Augmentation with a Transmidline Scarless Technique During Unilateral Breast Reconstruction Using Implants.

Plastic and reconstructive surgery. Global open

Olivia A Ho, Yi-Ling Lin, Jung-Ju Huang, Ming-Huei Cheng

Affiliations

  1. Division 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.

PMID: 28607846 PMCID: PMC5459629 DOI: 10.1097/GOX.0000000000001298

Abstract

BACKGROUND: Unilateral breast reconstruction can be a challenge when attempting to achieve an aesthetically pleasing and symmetrical breast mound on the contralateral side. This study investigates the outcomes of using a contralateral augmentation transmidline scarless (CATS) technique to simultaneously augment the contralateral breast using implants.

METHODS: Between January 2004 and July 2016, patients undergoing unilateral implant-based breast reconstruction and simultaneous contralateral implant augmentation using a transmidline access were studied. Characteristics and complications using this technique were assessed.

RESULTS: Sixty-five (91.5%) of 71 patients used the CATS technique for unilateral breast reconstruction using implants with contralateral breast implant augmentation. The remaining 6 cases used a preexisting chest scar. In the assessment of complication rates between the reconstructed and augmented sides, the reconstructed side had a statistically significant higher rate of implant exposure (

CONCLUSIONS: The CATS technique can be performed safely, with a desirable aesthetic outcome, and also symmetry with minimal risk of symmastia during unilateral breast reconstruction using implant-based reconstruction.

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