Percepción de la simetrización mamaria contralateral postmastectomía unilateral y resultados estéticos.

Abstract

Background: Breast reconstruction after mastectomy sometimes requires management of the contralateral sinus to achieve long-lasting symmetrical aesthetic results. There is little literature on the impact of this technique on patient-reported outcomes, such as satisfaction and health-related quality of life. Objective: To measure the perception of the aesthetic results of unilateral post-mastectomy breast symmetrization. Materials and Methods: Observational, analytical, retrospective and cross-sectional study with a quantitative approach. The sample is 50 patients from the National Cancer Institute "Dr. Juan Tanca Marengo” in the period from January 2017 to December 2019. Results: The average age was 45.2 years. The main comorbidity found was high blood pressure (6%). Prophylactic breast reconstruction was performed (100%). The most common histological types of breast cancer were infiltrating ductal carcinoma (78%) and infiltrating lobular carcinoma (8%). The most widely used surgical reconstruction technique was the use of a dorsal flap, expander, and prosthesis (52%). Mastopexy (52%) was the most widely used contralateral breast symmetry technique. At 6 months postoperatively, 44% and 50% consider the cosmetic result as excellent and good respectively. Reductive mammoplasty (55.60%) and mastopexy (42.30%) were the breast symmetrization procedures with better postoperative aesthetic results. The main postoperative complications were contracture (16%), suture dehiscence (10%), and granuloma of the surgical site (8%). Conclusions: reductive mammoplasty and mastopexy were the breast symmetrization procedures with better postoperative aesthetic results. Breast symmetry provides a positive impact on the degree of postoperative satisfaction.