Introduction: Poland syndrome is a rare congenital condition characterized by unilateral absence or underdevelopment of the pectoralis muscle and breast tissue, resulting in significant breast asymmetry and psychological distress. This report presents a 21-year-old female with Poland syndrome who underwent a successful two-stage implant-based breast reconstruction.
Methodology: The patient sought correction of breast asymmetry due to an underdeveloped left breast and absent pectoralis muscle. A two-stage reconstruction was performed, starting with the placement of a tissue expander in March 2024. The expander was gradually inflated to 600cc, creating adequate space for the final implant.
Results: In June 2024, the tissue expander was replaced with a 500cc silicone implant. A mastopexy was performed on the right breast, and the left nipple was medialized to achieve symmetry. The patient recovered well and was discharged three days postoperatively. Follow-up showed excellent aesthetic results, with the patient reporting high satisfaction and improved self-confidence.
Conclusion: This case demonstrates the effectiveness of a staged implant-based approach for breast reconstruction in Poland syndrome. The combined use of a tissue expander,implant placement, and contralateral breast modification achieved satisfactory symmetry and enhanced the patient’s quality of life. This method provides a reliable option for addressing breast asymmetry in similar cases.
Keywords: Poland Syndrome, Implant-based breast reconstruction, Breast asymmetry