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    BILATERAL BR EAST RECONSTRUCTION
    (Medknow Publications & Media Pvt Ltd, 2008) Uluğ, Burçak Tümerdem; Kuran, Ismail
    The increasing incidence of bilateral mastectomy for breast cancer and premalignant breast disease, with a significant improvement in methods available for mastectomy reconstruction has led to an increase in the indication for bilateral breast reconstruction. Seventeen patients who underwent bilateral breast reconstruction are evaluated in this study. The importance of preoperative planning to overcome the difficulties of bilateral breast reconstruction, the operation details of reconstruction with implant and the advantages of cohesive III implant are discussed. Two patients underwent reconstruction of one breast with transverse rectus abdominis myocutaneous flap and the other breast with implant. Two patients underwent reconstruction of one breast with latissimus dorsi myocutaneous flap and implant, the other breast only with implant. One patient had bilateral latissimus dorsi myocutaneous flap with implant reconstruction. Implants were used for bilateral breast reconstruction in the remaining. The results were evaluated in 85% as good and minor revisions were needed in 20%. Simultaneous bilateral breast reconstruction presents unique challenges and technically, it is much more difficult than a unilateral reconstruction. However, one of its advantages is that there is not any ptotic contralateral breast which frequently causes difficulty to obtain symmetry with. If the patient does not accept breast reconstruction with autogenous tissue and had sufficient soft tissue coverage, bilateral breast reconstruction with implant is an ideal option with its shorter operation and healing time.