Breast · Breast surgery & reconstruction · 2020

One for two, ipsilateral reduction and contralateral reconstruction mammoplasty: A case report

Authors

10
Zuhair D Hammood
Fahmi H Kakamad
Karzan M Salih
Hiwa O Baba
Hunar A Hassan
Shvan H Mohammed
Goran A Qadir
Hemn A Hassan
Ismael Y Abdullah

Abstract

IntroductionThe aim of this paper is to introduce a novel procedure for concomitant contralateral reduction and ipsilateral reconstruction mammoplasty by dividing the contralateral breast and creating a pectoralis myocutaneous flap for reconstruction.Presentation of caseA 34-year-old female, with a history of left side mastectomy presented for reconstruction. Under general anesthesia, the scar of the previous operation was resected in an elliptical shaped incision, the right breast was divided in middle, leaving the flap (pectoralis myocutaneous flap) with pectoralis branch of thoracoacromial artery. The superiomedial part of right breast (the flap) was rotated under the bridge of intermammary skin into the left incision.

Ten days after the operation, the flap was viable and healthy.DiscussionThe aim of breast reconstruction is to provide psychosocial support and improve quality of life in the long term by restoring the shape …