Are augmentation mammaplasty and reconstruction of the burned breast collateral lines? Experience in performing simultaneous reconstructive and aesthetic surgery

Yen Chang Hsiao, Jui Yung Yang, Shiow Shuh Chuang, Jiunn Yuan Huang, Chung Ho Feng

Research output: Contribution to journalReview articlepeer-review

Abstract

Fundamental principles of management of breast burns begin with recognition and preservation of any viable breast bud tissue. Reconstruction begins when the burned breast envelope is insufficient to allow unrestricted breast development. Complete contracture release is obtained by incision or excision of the restricting burn scar and thick split-thickness grafting. Occasionally, breast mound reconstruction with regional musculocutaneous flaps or tissue expanders is necessary. Balancing procedures, such as reduction or mastopexy of an opposite unburned breast, are often helpful. After a period of 6 to 12 months of compression garments, scar management, and settling, nipple-areola reconstruction is undertaken and consists of a combination of local flaps, full-thickness grafting, or composite grafts tailored to each patient's needs. Long-term follow-up is necessary to ensure that breast development continues satisfactorily and that contractures do not recur.

Original languageEnglish
Pages (from-to)113-119
Number of pages7
JournalClinics in Plastic Surgery
Volume27
Issue number1
StatePublished - 2000
Externally publishedYes

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