By M. Salgarello
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Extra info for Breast Reconstruction - Current Techniques
583-6. , Sentinel lymph node biopsy followed by delayed mastectomy and reconstruction. Am J Surg, 2003. 185(2): p. 114-7. , Staged sentinel lymph node biopsy before mastectomy facilitates surgical planning for breast cancer patients. Am J Surg, 2005. 190(4): p. 595-7. , The use of sentinel node biopsy in breast cancer patients undergoing skin sparing mastectomy and immediate autologous reconstruction. Plast Reconstr Surg, 2005. 116(5): p. 1278-86. , Timing of sentinel lymph node biopsy and reconstruction for patients undergoing mastectomy.
Returning to surgery for the implant exchange allows pocket revision to optimise the reconstructed breast form. Initial expander and implant devices were rudimentary and cosmetic outcomes were limited. These early devices had smooth elastomer surfaces and were associated with high rates of capsular contracture and device displacement. Aesthetic outcome was less predictable and in many cases, it was necessary to perform multiple adjustments to improve implant position, projection, or inframammary fold definition.
Bilateral breast reconstructions for cancer or risk reduction may also be ideal because it provides an optimum scenario for achieving symmetry. Patients undergoing unilateral mastectomies may require a contralateral procedure for symmetrisation by augmentation, mastopexy or breast reduction. Women who rely on upper limb strength for work or sport may be directed towards an implant reconstruction or muscle sparing autologous abdominal option as this would avoid the potential functional morbidity experienced that may follow an LD flap reconstruction.
Breast Reconstruction - Current Techniques by M. Salgarello