MAMOPLASTIA DE SIMETRIZACIÓN: TÉCNICAS PARA CORRECCIÓN DE ASIMETRÍA CONTRALATERAL EN RECONSTRUCCIÓN MAMARIA EN MUJERES ATENDIDAS EN HOSPITAL “TEODORO MALDONADO CARBO”, GUAYAQUIL, 2014

Abstract

Post-mastectomy breast reconstruction due to cancer, in Ecuador, has increased. However, there isn’t exact statistics of symmetrization mammaplasty in the “Teodoro Maldonado Carbo” Hospital. The lack of knowledge about breast symmetrization’s techniques, reduces the possibility to get back harmony to the female thoracic contour, lost self-esteem and femininity which will improve the quality of life. OBJECTIVE: To describe breast symmetrization techniques for contralateral breast asymmetry, in women with previous unilateral breast reconstruction. METHODS: A descriptive, retrospective study in 26 women with history of unilateral breast reconstruction to whom were performed a correction of the contralateral asymmetry at the “Teodoro Maldonado Carbo” Hospital, in Guayaquil, from January 1st to December 31st 2014. RESULTS: Average age of the group was 50 years. 76,9% of reconstructions merited simultaneous symmetrization with no complications. Mastopexy was the most used symmetrization technique (61,6%). The degree of post-symmetrization’s satisfaction was 63,9% according to the shape, size, symmetry, NAC position and scars. CONCLUSION: Breast augmentation, reduction mammaplasty and/or mastopexy are safe and successful symmetrization techniques to correct an evident asymetry caused by the reconstructed one. RECOMMEDATION: To inform to every mastectomized women, the need to correct the contralateral assimetry and also, to investigate the influence of other breast reconstruction techniques on the symmetrization mammaplasty’s results. KEY WORDS: Breast symmetrization, contralateral breast asymmetry, contralateral breast correction, breast reconstruction