Optimal intraoperative selection of the projection of silicone breast implant using simplified cotton sizers

Naohiro Ishii, Yumiko Tani, Tomoki Kiuchi, Takahiro Uno, Jiro Ando, Kazuo Kishi

Research output: Contribution to journalArticle

Abstract

Background: It is occasionally difficult to accurately measure the projection of the unaffected breast in unilateral breast reconstruction and decide the optimal projection of a silicone breast implant (SBI). SBI ready-made sizers are useful for selecting the optimal SBI; however, the cost of procuring multiple types of this ready-made sizers is high. Therefore, we aimed to develop a novel technique for selecting SBIs using simplified cotton sizers, intraoperatively. Methods: We applied the novel technique on 15 patients who underwent SBI-based breast reconstruction after simple mastectomy, among whom two or three SBI candidates had similar height and width but different projection. The breast reconstructed using a cotton SBI sizer was compared with the unaffected breast in the sitting position. We then selected the optimal SBI with a little higher projection than that of the unaffected breast. At the postoperative 1 year, we confirmed whether we could select better SBI among the prepared SBIs. Results: Creating and applying the cotton SBI sizer required approximately 10 min in all cases. Optimal SBI selection among the prepared SBIs was seen in 14 cases; capsule contracture occurred in 1 case. Conclusions: A simplified cotton SBI sizer is recommended because it is easy and inexpensive to develop and provides reliable assistance in identifying the optimal SBI projection.

Original languageEnglish
Pages (from-to)537-541
Number of pages5
JournalGland Surgery
Volume8
Issue number5
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Breast Implants
Silicones
Breast
Mammaplasty
Simple Mastectomy
Contracture
Posture
Capsules

Keywords

  • Breast reconstruction
  • Implant
  • Mastectomy
  • Projection
  • Sizer

ASJC Scopus subject areas

  • Surgery

Cite this

Optimal intraoperative selection of the projection of silicone breast implant using simplified cotton sizers. / Ishii, Naohiro; Tani, Yumiko; Kiuchi, Tomoki; Uno, Takahiro; Ando, Jiro; Kishi, Kazuo.

In: Gland Surgery, Vol. 8, No. 5, 01.01.2019, p. 537-541.

Research output: Contribution to journalArticle

Ishii, Naohiro ; Tani, Yumiko ; Kiuchi, Tomoki ; Uno, Takahiro ; Ando, Jiro ; Kishi, Kazuo. / Optimal intraoperative selection of the projection of silicone breast implant using simplified cotton sizers. In: Gland Surgery. 2019 ; Vol. 8, No. 5. pp. 537-541.
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