title: One-stage immediate breast reconstruction with implant following skin-sparing mastectomy in Asian patients.
abstract: 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.
authors: Department of Plastic and Reconstructive Surgery, Chang Gung University, Tao Yuan, Taiwan.
authors: Hsiang-Ya
authors: HY
authors: Wang
authors: Rozina S
authors: RS
authors: Ali
authors: Shin-Cheh
authors: SC
authors: Chen
authors: Tzu-Chieh
authors: TC
authors: Chao
authors: Ming-Huei
authors: MH
authors: Cheng
mesh_terms: D000328:Adult; D044466:Asian People; D015992:Body Mass Index; D019928:Breast Implantation / Q000379:methods*; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008408:Mastectomy / Q000379:methods; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D009367:Neoplasm Staging