Early, Staged Reconstruction in Young Women with Severe Breast Asymmetry

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.
Journal of pediatric and adolescent gynecology (Impact Factor: 1.68). 09/2009; 22(4):223-8. DOI: 10.1016/j.jpag.2008.08.002
Source: PubMed


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.
Chart review.
The University of Michigan Hospital, a tertiary care center.
Women less than 25 years of age who underwent staged breast reconstruction with a tissue expander between 1998 and 2006.
Complication rate and patient satisfaction.
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.
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.

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