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One-Stage Immediate Breast Reconstruction With Implant Following Skin-Sparing Mastectomy in Asian Patients

Wang, Hsiang-Ya MD*; Ali, Rozina S. MD*; Chen, Shin-Cheh MD; Chao, Tzu-Chieh MD; Cheng, Ming-Huei MD, MHA*‡

doi: 10.1097/SAP.0b013e318063ef70
Breast Surgery
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The Asian breast reconstruction patient is usually of lower mean age, lower body mass index (BMI), and has relatively small breasts. This study aimed to investigate the outcome of 1-stage immediate breast reconstruction using saline-filled implants in the Asian patients.

Between April 2002 and July 2005, 30 patients underwent skin-sparing mastectomy and 1-stage immediate breast reconstruction with a saline-filled implant. Mean age was 42.9 years, with a mean BMI of 21.9 and a mean implant volume of 283 mL.

The overall success rate was 96.6%, with 1 case of implant exposure secondary to chest skin necrosis. At mean follow-up of 21.5 months (range 6 to 40 months), 1 patient developed local recurrence (3.33%).

Perfusion of the chest skin flap is reliable enough to allow 1-stage breast reconstruction with small saline-filled breast implants. We present this as an additional option for immediate breast reconstruction in thin women with small breasts.

From the *Department of Plastic and Reconstructive Surgery; †Department of General Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, Tao Yuan, Taiwan; and ‡Department of Plastic Surgery, Xiamen Chang Gung Hospital, Fujing, China.

Reprints: Ming-Huei Cheng, MD, MHA, Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University 5, Fu-Hsin Street, Kuei-shan, Tao-yuan 333, Taiwan. E-mail: minghueicheng@gmail.com.

© 2008 Lippincott Williams & Wilkins, Inc.