Removal of Breast Cancer and Immediate Breast Reconstruction by Periareolar Approach.

Park, Su Sung; Lee, Keun Cheol; Kim, Seok Kwun; Joh, Se Heon; Park, Jung Min

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(2):148-154.
Published online March 1, 2011.

Removal of Breast Cancer and Immediate Breast Reconstruction by Periareolar Approach.

Su Sung Park, Keun Cheol Lee, Seok Kwun Kim, Se Heon Joh, Jung Min Park

¹Department of Plastic & Reconstructive Surgery, College of Medicine, Dong A University, Busan, Korea. pokdungi@dau.ac.kr
²Department of Surgery, College of Medicine, Dong A University, Busan, Korea.
³W Cosmetic Surgery Clinic, Busan, Korea.

Abstract

PURPOSE
As the Korean life style is becoming westernized at a rapid pace, the rate of breast cancer is growing at the same time. So, the case of breast reconstruction after mastectomy increases, too. Points of breast reconstruction are symmetry, scar, size, and shape. Especially symmetry and scar are more important than others for Korean. This study is aimed to identify the method of breast reconstruction that accomplished the best results in terms of symmetry and scar. METHODS: A total 15 patients were operated on from March of 2005 to July of 2009. The 5 patients were reconstructed by mammoreduction method after periareolar incision, the 7 patients were reconstructed by pectoralis-major transfer with implant after periareolar incision, and 3 patient were reconstructed by both breast augmentation.
RESULTS
Follow up period was 20.2 months on average and no complications such as breast deformity were observed. In symmetry of breast, the satisfaction score of periareolar approach is 4.4 and the satisfaction score of other approaches are 4.2(p>0.05). But in scar of breast, the satisfaction score of periareolar approach is 4.6 and the satisfaction score of other approaches is 3.4(p<0.05).
CONCLUSION
In conclusion, Author's method of breast reconstruction after removal of breast cancer through periareolar incision is effective method in patients who care about aesthetic result after mastectomy.

Keywords: Breast reconstruction; Periareolar approach