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J Pediatr Adolesc Gynecol. 2009 Aug;22(4):223-8. doi: 10.1016/j.jpag.2008.08.002.

Early, staged reconstruction in young women with severe breast asymmetry.

Author information

1
Department of Obstetrics and Gynecology, University of Michigan Health Systems, 1500 E. Medical Center Drive, Room L4000 Women's Hospital, Ann Arbor, MI 48109-0276, USA. meghanst@med.umich.edu

Abstract

STUDY OBJECTIVE:

To retrospectively examine a cohort of young women with severe hypoplasia or asymmetric breast development who underwent breast reconstruction with tissue expansion and to determine complication rates as well as patient satisfaction.

DESIGN:

Chart review.

SETTING:

The University of Michigan Hospital, a tertiary care center.

PARTICIPANTS:

Women less than 25 years of age who underwent staged breast reconstruction with a tissue expander between 1998 and 2006.

MAIN OUTCOME MEASURES:

Complication rate and patient satisfaction.

RESULTS:

The mean age of patients undergoing the procedure was 18.1 years (range 14-25 years). Of 10 patients with recorded tobacco use, 8 (80%) were noted to be nonsmokers. One of 14 patients (7.1%) was found to have a minor complication (cellulitis), and 2 of 14 (14.2%) were found to have major complications. Of the 13 patients who had at least 6 weeks of follow-up after completion of their reconstruction, 10 were subjectively documented as pleased with the result, 2 records made no mention of patient satisfaction, and 1 patient had concerns regarding her results.

CONCLUSION:

Our study shows promising results for the use of tissue expanders in young women with significant breast asymmetry or unilateral/bilateral micromastia. The very important issues of short-term and long-term satisfaction and outcomes needs further study before advocating an early approach to teens with breast deformities.

PMID:
19646667
DOI:
10.1016/j.jpag.2008.08.002
[Indexed for MEDLINE]

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