Adaptation of the Hall-Findlay technique for simultaneous contralateral reduction in delayed breast reconstruction with extended latissimus dorsi flap.

Abstract

In the past we have validated Hall-Findlay technique of breast reduction with our independent results. The technique combines the safety of the superomedial pedicle with advantages of a vertical scar in a quick but safe manner ensuring adequate resection and sound healing with less scars and faster recovery for the patient. We now report our experience of using an adaptation of the same in simultaneous contralateral reduction in delayed breast reconstruction with extended latissimus dorsi flap. Thirty consecutive patients underwent simultaneous contralateral balancing reduction. The modifications consisted of wider upper pole reduction with smaller, thinner pedicle reducing the projection. All patients had an uneventful recovery with no haematoma, infection or seroma. Two patients (6.66%) wished further reduction and one (3.33%) required dog-ear revision. The modifications allow the reduction of the contralateral breast with a lower projection to match the extended latissimus dorsi (ELD) flap reconstruction. We have found the modified technique to be reliable and versatile with a shorter operative and recovery time adding minimal morbidity of simultaneous contralateral reduction and effectively reducing the need of a delayed balancing reduction.