ABSTRACT:
Premise. Modern approaches to skin-sparing mastectomy produce impressive esthetic results with high degree of symmetry. However, functional properties of reconstructed breast (haptic properties, consensual mobility) often leave much to be desired. The article presents an original technique of skin-sparing surgeries in case of breast cancer with single-step reconstruction of thoracodorsal flap which was preliminarily subjected to lipofilling. Methods. The trial involves 18 patients with breast cancer who had a skin-sparing mastectomy with relation to breast cancer with single-step reconstruction of thoracodorsal flap which was preliminarily subjected to lipofilling. The indications for this surgical intervention have been identified. Lipofilling technique within the projection of the future thoracodorsal flap, breast tissue cutting, flap dissection and formation of symmetrical breast has been described. Results. When using BCCT.core 3.0 software, excellent and good results were equally distributed. In 5 cases (27.8%) we managed to obtain absolutely symmetrical breasts not only in terms of visual perception but also in terms of haptic properties. A small percentage of complications allows to consider the suggested surgical intervention to be effective method for breast reconstruction. Conclusions. Replacement of lost breast capacity by thoracodorsal flap which was previously subjected to lipografting, as well as renunciation of combination of tissue graft with the implant produces high degree of symmetry not only visually but also in terms of haptic properties and consensual breast symmetry.