One-stage reconstruction can be performed for patients undergoing breast-conserving surgery due to early-stage breast cancer or pathological changes resulting from silicone injection, for those with breast lumpectomy, or for those with Poland syndrome with congenital hypoplasia of one breast. Patients’ breast tissue should be partially preserved to provide sufficient elasticity and cover of implants. Technically, this procedure is similar to ordinary endoscopic breast augmentations. Dr. Chuang will access the scar from the previous breast excision, dissect the pocket under the skin or mammary gland using an endoscope and ESUs, and place implants of appropriate size. Patients can choose from ipsilateral reconstruction or bilateral augmentation for the concurrent upgrade of the breast to achieve better symmetry.
This surgery allows for the one-time completion of breast reconstruction and/or contralateral augmentation with a simplified process and few complications. Patients can enjoy immediate and obvious results. However, implant size may be limited by patients’ skin elasticity. Textured implants should be preferentially used to allow faster breast shape stabilization, but they would also sacrifice the feel and texture of the breast. Further, implants may appear unnaturally round for those with thinner skin coverage or with larger breast excision. Autologous fat transfer could be performed in conjunction or separately in the future to achieve more ideal symmetry and better texture in these cases.