Abstract
Study Objective
To retrospectively examine a cohort of young women with severe hypoplasia or asymmetric
breast development who underwent breast reconstruction with tissue expansion and to
determine complication rates as well as patient satisfaction.
Design
Chart review.
Setting
The University of Michigan Hospital, a tertiary care center.
Participants
Women less than 25 years of age who underwent staged breast reconstruction with a
tissue expander between 1998 and 2006.
Main Outcome Measures
Complication rate and patient satisfaction.
Results
The mean age of patients undergoing the procedure was 18.1 years (range 14-25 years).
Of 10 patients with recorded tobacco use, 8 (80%) were noted to be nonsmokers. One
of 14 patients (7.1%) was found to have a minor complication (cellulitis), and 2 of
14 (14.2%) were found to have major complications. Of the 13 patients who had at least
6 weeks of follow-up after completion of their reconstruction, 10 were subjectively
documented as pleased with the result, 2 records made no mention of patient satisfaction,
and 1 patient had concerns regarding her results.
Conclusion
Our study shows promising results for the use of tissue expanders in young women with
significant breast asymmetry or unilateral/bilateral micromastia. The very important
issues of short-term and long-term satisfaction and outcomes needs further study before
advocating an early approach to teens with breast deformities.
Key Words
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© 2009 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
