Les plasties mammaires dans la symetrisation du sein controlateral et leur interet carcinologique

Controlateral occult carcinomas are observed in 3 to 5% of the reduction mammaplasty of the controlateral breast at the time of the breast reconstruction. The symmetry procedure allows a good check up of the glandular tissue of the controlateral breast, especially when there is no evidence of tumor. The different techniques of breast reduction provide specific possibilities for such exploration and should be chosen according to the area which should be explored. The superior pedicle technique gives us the best exposure and an easier modelling. It gives a good aesthetic results in 80% of cases. The central pedicle and dermoglandular pedicle technique give a good exposure and permits us to fill the defect with glandular flap. The drawback of the inferior pedicle technique is the lack of control of the central and inferior quadrant.