Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Augmentation Mammaplasty in Women with Simple Sunken Chest

단순흉부함몰 환자에서 유방확대술

  • Jang, Hyun (Department of Plastic and Reconstructive Surgery, College of Medicine, Dankook University) ;
  • Oh, Sang-Ah (Department of Plastic and Reconstructive Surgery, College of Medicine, Dankook University) ;
  • Yoon, Won-June (Migo Aesthetic Surgical Clinic)
  • 장현 (단국대학교 의과대학 성형외과학교실) ;
  • 오상아 (단국대학교 의과대학 성형외과학교실) ;
  • 윤원준 (미고성형외과)
  • Received : 2010.06.28
  • Accepted : 2010.10.07
  • Published : 2010.11.10
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Abstract

Purpose: The sunken chest deformity without breast asymmetry is not a rare condition encountered in augmentation mammaplasty. Therefore, failure to recognize the deformity and improper surgical plan will lead to a suboptimal result. The authors review the experience of breast augmentation in simple sunken chest patient based on retrospectively collected data. Methods: From January, 2008 to January, 2009, patients with simple sunken chest underwent endoscopic submuscular augmentation mammaplasty through axilla, using silicone implants. Patient demographics were queried and outcomes were assessed. Results: Eleven patients (22 breasts) were followed up for 8.2 months after surgery. Sunken chests were augmented with implant size of approximately 248.9 cc (range: 213~286 cc) and contralateral chest with 211.4 cc (range: 180~235 cc). Simultaneous camouflaging the chest wall depression with breast augmentation resulted in good aesthetic outcome. All of the patients were satisfied with the surgery. There were no complications among all patients. Conclusion: We have demonstrated proper surgical planning with precise implant selection to optimize results in patients with small breast and simple sunken chest. Even though asymmetry still remains after the operation, it is still considered as acceptable.

Keywords

References

  1. Mathes SJ, Hentz VR: Plastic surgery. 2nd ed, Philadelphia, Elsevier Inc., 2006, Vol. 6, p 458
  2. Spear SL, Pelletiere CV, Lee ES, Grotting JC: Anterior thoracic hypoplasia: A separate entity from Poland syndrome. Plast Reconstr Surg 113: 69, 2004 https://doi.org/10.1097/01.PRS.0000090727.07735.F5
  3. Rohrich RJ, Hartely W, Brown S: Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients. Plast Reconstr Surg 111: 1513, 2003 https://doi.org/10.1097/01.PRS.0000049636.17522.1B
  4. Hester TR, Bostwick J 3rd: Poland's syndrome: Correction with latissimus muscle transposition. Plast Reconstr Surg 69: 226, 1982 https://doi.org/10.1097/00006534-198202000-00008
  5. Urschel HC: Poland's syndrome. Chest Surg Clin North Am 10: 393, 2000
  6. Marks MW, Argenta LC, Izenberg PH, Mes LGB: Management of the chest-wall deformity in male patients with Poland's syndrome. Plast Reconstr Surg 87: 674, 1991 https://doi.org/10.1097/00006534-199104000-00011
  7. Park EJ, Kim IG, Choi HY, Lee JM: Treatment of Poland's syndrome: 2 case experience. J Korean Soc Plast Reconstr Surg 18: 925, 1991
  8. Kim CH, Park ES, Kim YB: Endoscopically assisted breast reconstruction of female Poland syndrome through a single axillary incision. J Korean Soc Plast Reconstr Surg 11: 271, 2005
  9. Oh DY, Lee PK, Seo BC, Rhie JW, Ahn ST: Chest wall and breast reconstruction in Poland's syndrome. J Korean Soc Plast Reconstr Surg 34: 346, 2007
  10. Lee MJ, Yang JY: 3 cases report of the Poland's syndrome. J Korean Soc Plast Reconstr Surg 20: 1169, 1993
  11. Matos AC, Bernardo JE, Fernandes LE, Antunes MJ: Surgery of chest wall deformities. Eur J Cardiothoracic Surg 12: 345, 1997 https://doi.org/10.1016/S1010-7940(97)00168-1
  12. Cho IC, Choe J, Park BY, Lee JD: Breast reconstruction in Poland's pectoralis muscle anomaly. J Korean Soc Plast Reconstr Surg 9: 353, 1982
  13. Hodgkinson DJ: The management of anterior chest wall deformity in patients presenting for breast augmentation. Plast Reconstr Surg 109: 1714, 2002 https://doi.org/10.1097/00006534-200204150-00039