Critical Analysis of Reduction Mammaplasty Techniques in Combination with Conservative Breast Surgery for Early Breast Cancer Treatment

• DOI: 10.1097/01.prs.0000202121.84583.0d
• Publication Date: 2006-03-30T10:21:29Z
• Authors: Alexandre Mendon?...; Eduardo Montag; Eduardo Gustavo A...; Claudia Aldrighi; Rolf Gemperli; Jos?? Mendes Aldr...; Marcus Castro Fer...
• Keywords: Breast reduction; Conservative Treatment

Background: Although reduction mammaplasty is a well-described technique for aesthetic purposes, there are few previous reports regarding its application and clinical outcome following conservative breast surgery reconstruction. The purpose of this study was to analyze the feasibility surgery. Methods: Oncologic data information on age, body mass index, smoking history, comorbid conditions were collected. Reconstructed opposite complications evaluated. Reduction indicated reconstruct moderate defects in patients with enough remaining tissue. Mean follow-up 22 months. Results: Seventy-four underwent immediate breast-conserving In 55.4 percent patients, tumors measured 2 cm or less (T1) 47.2 they located upper outer quadrants. Breast occurred 13 (17.6 percent), skin necrosis six (8.1 infection two (2.7 partial areola dehiscence two, total one (1.35 percent). Late represented by lesions fat observed five (6.8 Obese smokers had significantly higher rate reconstructed compared normal/overweight (p = 0.002) nonsmokers 0.043). No significant association between hypertension, diabetes, axillary lymph node dissection, chemotherapy found. Conclusions: consistent reconstruction Complications more often breast, obese risk patients.