Z-plasty and Augmentation Mammaplasty for Correction of Severe Breast Deformity Caused by Abscess: Report of A Case

Abstract

Breast deformity imposes great cosmetic and psychological problems on the inflicted patients. The treatment goal is to achieve an aesthetic and symmetric breast contour, especially when the other side is unaffected. Breast abscess is not uncommon, but rarely causes severe deformity. We present a 33-year-old woman treated with zplasty and augmentation mammaplasty. The patient had undergone received surgical drainage twice for her left breast abscess two years before, which led to breast volume deficiency, contour deformity and malposition of the nipple-areola complex. A 200 cc saline-filled prosthesis was implanted in a subpectoral pocket to build up a symmetric breast mound and z-plasty was performed to correct the trapdoor deformity and the malposition of the nipple-areola complex. The surgical result was satisfactory. To the best of our knowledge, this is the first report of severe breast deformity secondary to previous breast abscess that required reconstructive surgery.