Correction of Poland's Deformity Through a Hemiareolar Incision

Many techniques have been described to correct breast hypoplasia and asymmetry associated with Poland's syndrome. Some patients are not interested in permanent implants. Others are not suitable candidates for implants because of severe muscle and soft tissue deficiencies. In this case study, a two-stage procedure without permanent implants to address all the anomalies of Poland's breast deformity is presented. The first stage involved tissue expansion; in the second stage, the expander was replaced with a deepithelialized transverse rectus abdominis myocutaneous flap. The breast and chest wall reconstruction were accomplished through a hemiareolar incision.