Bilateral breast reconstruction with a pedicled transverse rectus abdominis myocutaneous flap after subcutaneous mastectomy for symptomatic injected breasts

Wen Kuan Chiu, Tzu Peng Lee, Shih Yi Chen, Chun Chang Li, Chih Hsin Wang, Shyi Gen Chen

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Breast deformities after augmentation with injectable materials carried out by uncertified medical personnel present challenging problems. Materials include liquid silicone, paraffin, polyacrylamide hydrogels, and unknown gels. They usually cause granulomatous reactions, erythema, pain, and even skin necrosis. Tender masses that cannot be differentiated from breast cancers are the major concern. This retrospective study presents the authors' experience in managing 10 symptomatic injected breasts in five patients during the past 8 years. Subcutaneous mastectomies were carried out using periareolar, inverted "T", or inframammary approaches combined with breast reconstruction using bilateral pedicled transverse rectus abdominis myocutaneous (TRAM) flaps. All flaps survived well and gave a satisfactory cosmetic appearance. There was no major complication or late occurrence of breast cancers over the following 8 years. Injectable materials used for breast augmentation should be prohibited until more scientific data are available about the long-term effect of these materials in breast tissues. Once the injected breasts become symptomatic, subcutaneous mastectomy and reconstruction with bilateral pedicled TRAM flaps is a reasonable option for the patient.

Original languageEnglish
Pages (from-to)242-247
Number of pages6
JournalJournal of Plastic Surgery and Hand Surgery
Volume46
Issue number3-4
DOIs
Publication statusPublished - Sep 2012
Externally publishedYes

Keywords

  • Breast neoplasms
  • Mammaplasty
  • Mastectomy
  • Paraffinoma
  • Polyacrylamide hydrogels
  • Siliconoma
  • TRAM flap

ASJC Scopus subject areas

  • Surgery

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