The objective of breast reconstruction is to obtain symmetry with a normal breast using a safe and relatively simple procedure. Breast symmetry is more likely to result from simultaneous reconstruction of both breasts which have received similar mastectomies, using the same technique and resulting in similar scars. Symmetry is more difficult to achieve in a patient who has had dissimilar mastectomies, such as a modified radical on one side and a subcutaneous one on the opposite side. Because reconstruction of a breast is an elective procedure, safety should be kept uppermost in the surgeon's mind. Whenever possible, autologous blood transfusions should be used. Simplicity is a worthwhile aim, but unfortunately not always achievable - particularly if reconstruction involves the use of autologous tissue and a transverse abdominal island flap. This procedure is not simple, but the aim should be to make it safe. To accomplish symmetry in breast reconstruction the attention must be directed to achieve good projection ptosis and recreation of the inframmamary fold at the same level of the opposite.
|Translated title of the contribution||Basic principles in mammary reconstruction|
|Number of pages||4|
|Journal||Cirugia Plastica Ibero-Latinoamericana|
|State||Published - 1994|
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