Single stage immediate prosthetic breast and nipple-areolar complex reconstruction with simultaneous contralateral symmetrisation

The authors present a case report of a patient with two foci carcinoma of the left breast. The selected therapeutic surgical indication was a left skin sparing mastectomy with amputation of the nipple-areolar complex, immediate breast reconstruction and contralateral breast reduction for symmetrisation. The redundant skin of the right areola was used as a spiral graft to reconstruct the left areola. The reconstruction of the left amputated breast was immediately obtained by placing a permanent anatomical breast implant in a subpectoral position in the superior half and in a retro-dermoadipose flap position in the inferior half (dual plane technique). The weight difference between the mastectomy side and the reduction side gave the calculated implant size of the procedure. This one stage technique achieved a good end-result considering symmetry and shape. The 3.5 years follow-up revealed no complications, no recurrence and aesthetic quality.