Summary
Background
Immediate breast reconstruction with skin graft is still little mentioned in the literature.
Follow-up studies regarding the technique aspects are particularly scarce. The objective
was to detail immediate breast reconstruction using autologous skin graft.
Methods
Patients (n = 49) who underwent mastectomies and autologous immediate breast reconstruction with
skin graft associated with a breast implant at A. C. Camargo Hospital (São Paulo,
Brazil) between January 2007 and July 2010 were included. Information on clinical
data, technique details and clinical outcome were prospectively collected. Following
mastectomy, the autologous full-thickness skin graft was obtained through an inframammary
fold incision along the contralateral breast in most patients. The skin graft was
placed on the surface of the pectoralis major muscle after adjustments to conform
to the mastectomy defect. A minimum of 10-month follow-up period was established.
Results
Patients’ age ranged from 35 to 55 years and all received a silicone gel textured
surface implant to obtain the necessary breast mound. The mean surgical time was 45 min,
and the mean amount of skin resection was 4.5 cm in the largest diameter. Follow-up
ranged from 10 to 35 months (median 23). All patients had silicone-gel textured surface
implants to perform the breast mound reconstruction. No complications were observed
in 87.8% of reconstructions. Forty-six patients (94%) had no complaints about the
donor-site aesthetics. The result was a breast mound with a central ellipse of healed
skin graft. Three (6%) poor results were observed. Thirty-six patients (67%) reported
the results as good or very good.
Conclusions
Our results lead us to conclude that autologous skin graft provided a reliable option
in immediate breast reconstruction to skin-sparing mastectomy defects. The technique
accomplished a single-stage implant breast reconstruction when there is inadequate
skin coverage.
Keywords
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Article info
Publication history
Published online: October 03, 2011
Accepted:
September 6,
2011
Received:
May 21,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
