Format

Send to

Choose Destination
Aesthet Surg J. 2015 May;35(4):394-401. doi: 10.1093/asj/sju058.

Correction of small volume breast asymmetry using deep parenchymal resection and identical silicone implants: an early experience.

Author information

1
Dr Somogyi was a Clinical Fellow at a private plastic surgery practice in Melbourne, Australia, at the time of this study and is now a plastic surgeon in private practice in Toronto, Canada. Dr Stavrou was a Clinical Fellow at a private plastic surgery practice in Melbourne, Australia, at the time of this study and is now a plastic surgeon in private practice in Cyprus, Greece. Dr Southwick is a plastic surgeon in private practice in Melbourne, Australia.

Abstract

BACKGROUND:

Virtually all patients presenting for augmentation mammaplasty will exhibit some degree of asymmetry. The use of asymmetric implants to address small- volume breast asymmetry introduces uncontrolled variables into the longevity of postoperative results.

OBJECTIVES:

We described a novel method of addressing small-volume asymmetry using deep parenchymal resection (DPR) to achieve symmetry prior to insertion of identical implants. We also compared our results with this technique to a cohort of standard augmentation mammaplasty patients.

METHODS:

All patients underwent 3-dimensional (3D) imaging during consultation. In patients with small-volume breast asymmetry, a uniform disk of deep parenchymal tissue was resected from the base of the larger breast cone through an inframammary incision. A standard submuscular augmentation was then completed. Five patients (DPR group) with appreciable small-volume asymmetry underwent DPR in the larger breast prior to insertion of identical implants. Fifty-six consecutive patients with no appreciable volume asymmetry (standard group) underwent standard submuscular breast augmentation.

RESULTS:

Using 3D imaging preoperatively, DPR-group patients had an estimated breast volume asymmetry of 86 ± 58 g and had 55 ± 27 g excised from the larger breast intraoperatively, allowing for insertion of identical implants in each patient. Complications in the standard group included 1 case of rippling and 2 cases of malposition. One case of malposition was noted in the DPR group. No other complications were recorded in either group over 6 months.

CONCLUSIONS:

Our novel method of addressing small-volume breast asymmetry allows for the use of identical implants and presents no increase in early complications.

PMID:
25908698
DOI:
10.1093/asj/sju058
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center