Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients
In breast reconstruction with a flap transfer, symmetry is often difficult to achieve when the contralateral breast projection has a downward peak. Although minimally invasive and effective methods for postoperative correction of the reconstructed breast mound are desirable, none has been comprehens...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2025-05-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2525-5772 |
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| author | Makoto Shimabukuro Naohiro Ishii Naohiko Ikura Kyoichi Matsuzaki Kazuo Kishi |
| author_facet | Makoto Shimabukuro Naohiro Ishii Naohiko Ikura Kyoichi Matsuzaki Kazuo Kishi |
| author_sort | Makoto Shimabukuro |
| collection | DOAJ |
| description | In breast reconstruction with a flap transfer, symmetry is often difficult to achieve when the contralateral breast projection has a downward peak. Although minimally invasive and effective methods for postoperative correction of the reconstructed breast mound are desirable, none has been comprehensively reported. We devised a correction method comprising downward movement of the reconstructed breast mound using early postoperative dissection and pressure. This method was applied to four patients undergoing primary two-stage ptotic breast reconstruction with a flap transfer. All of their reconstructed breast mounds were positioned above the contralateral side in the early postoperative period. They underwent manual dissection of the upper edge in flaps under local anesthesia 3 weeks after reconstruction or downward pressure correction using a sponge for 6 months or both procedures. The reconstructed breast mound moved 2 to 2.5 cm downward with early postoperative manual dissection or pressure correction using a sponge and moved 3 cm downward with the combination of both dissection and pressure. Manual dissection in the early postoperative period under local anesthesia and compression with a sponge is minimally invasive and useful for the downward correction of the reconstructed breast mound. The combination of dissection and compression provides a greater corrective effect. |
| format | Article |
| id | doaj-art-8d779fd2bc784c0c8b43a0dd5518403d |
| institution | Kabale University |
| issn | 2234-6163 2234-6171 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-8d779fd2bc784c0c8b43a0dd5518403d2025-08-20T03:49:40ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712025-05-01520311912410.1055/a-2525-5772Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction PatientsMakoto Shimabukuro0https://orcid.org/0009-0008-4027-5574Naohiro Ishii1https://orcid.org/0000-0001-8838-5344Naohiko Ikura2https://orcid.org/0009-0000-6502-4888Kyoichi Matsuzaki3https://orcid.org/0000-0002-2276-7304Kazuo Kishi4https://orcid.org/0000-0002-4298-9828Department of Plastic and Reconstructive Surgery, International University of Health and Welfare Hospital, Tochigi, JapanDepartment of Plastic and Reconstructive Surgery, International University of Health and Welfare Hospital, Tochigi, JapanDepartment of Plastic and Reconstructive Surgery, Tochigi Cancer Center, Tochigi, JapanDepartment of Plastic and Reconstructive Surgery, International University of Health and Welfare, School of Medicine, Chiba, JapanDepartment of Plastic and Reconstructive Surgery, Keio University, Tokyo, JapanIn breast reconstruction with a flap transfer, symmetry is often difficult to achieve when the contralateral breast projection has a downward peak. Although minimally invasive and effective methods for postoperative correction of the reconstructed breast mound are desirable, none has been comprehensively reported. We devised a correction method comprising downward movement of the reconstructed breast mound using early postoperative dissection and pressure. This method was applied to four patients undergoing primary two-stage ptotic breast reconstruction with a flap transfer. All of their reconstructed breast mounds were positioned above the contralateral side in the early postoperative period. They underwent manual dissection of the upper edge in flaps under local anesthesia 3 weeks after reconstruction or downward pressure correction using a sponge for 6 months or both procedures. The reconstructed breast mound moved 2 to 2.5 cm downward with early postoperative manual dissection or pressure correction using a sponge and moved 3 cm downward with the combination of both dissection and pressure. Manual dissection in the early postoperative period under local anesthesia and compression with a sponge is minimally invasive and useful for the downward correction of the reconstructed breast mound. The combination of dissection and compression provides a greater corrective effect.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2525-5772breast moundptosisreconstructionskin flapsponge |
| spellingShingle | Makoto Shimabukuro Naohiro Ishii Naohiko Ikura Kyoichi Matsuzaki Kazuo Kishi Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients Archives of Plastic Surgery breast mound ptosis reconstruction skin flap sponge |
| title | Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients |
| title_full | Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients |
| title_fullStr | Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients |
| title_full_unstemmed | Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients |
| title_short | Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients |
| title_sort | downward repositioning of breast mound with early phase intervention for autologous breast reconstruction patients |
| topic | breast mound ptosis reconstruction skin flap sponge |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2525-5772 |
| work_keys_str_mv | AT makotoshimabukuro downwardrepositioningofbreastmoundwithearlyphaseinterventionforautologousbreastreconstructionpatients AT naohiroishii downwardrepositioningofbreastmoundwithearlyphaseinterventionforautologousbreastreconstructionpatients AT naohikoikura downwardrepositioningofbreastmoundwithearlyphaseinterventionforautologousbreastreconstructionpatients AT kyoichimatsuzaki downwardrepositioningofbreastmoundwithearlyphaseinterventionforautologousbreastreconstructionpatients AT kazuokishi downwardrepositioningofbreastmoundwithearlyphaseinterventionforautologousbreastreconstructionpatients |