Superior pedicle technique of reduction mammaplasty: a stepwise approach.

Abstract:

:Numerous surgical options for breast reduction have been described, but in the current healthcare environment, efficiency is of the utmost importance. In this Featured Operative Technique, the authors describe an efficient, reproducible, and simple method for minimal to moderate reduction mammaplasty that utilizes a superior pedicle. The surgical maneuvers were developed and conveyed to the senior author (W.G.S.) by Dr John Bostwick. This approach preserves superior and medial breast fullness while providing appropriate resection of the breast parenchyma to ameliorate symptoms and produce a smaller, lifted breast with a more youthful appearance. The surgical technique maintains a reliable blood supply to the nipple-areola complex (NAC) from the internal mammary artery and its perforators, and involves minimal transposition of the NAC. The authors reviewed the charts of 62 consecutive patients who underwent this procedure and found the complication rate to be 11.3%. Complications included 1 hematoma, 1 standing cone deformity, 3 soft-tissue infections, 8 incisional breakdowns, and 1 unilateral necrosis of the NAC.

journal_name

Aesthet Surg J

authors

Nadeau MH,Gould DJ,Macias LH,Spring MA,Stevens WG

doi

10.1093/asj/sju011

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

94-104

issue

1

eissn

1090-820X

issn

1527-330X

pii

sju011

journal_volume

35

pub_type

杂志文章
  • Lower Eyelid Blepharoplasty: Does the Literature Support the Longevity of this Procedure?

    abstract:Background:Lower eyelid blepharoplasty has continued to evolve with ongoing debate regarding optimal techniques. Despite large case series publishing excellent results and minimal complications, the true longevity of these procedures remains unclear. Objectives:The aim of this study was to determine how thoroughly the...

    journal_title:Aesthetic surgery journal

    pub_type: 历史文章,杂志文章,评审

    doi:10.1093/asj/sjy186

    authors: Wilson SC,Daar DA,Maliha SG,Abdou SA,Levine SM,Baker DC

    更新日期:2018-11-12 00:00:00

  • Contouring of the male anterior chest following bariatric surgery and massive weight loss.

    abstract::The male breast area can be difficult to treat following massive weight loss. In such patients, it is essential to correct the deformity without leaving disfiguring scars over the anterior surface of the chest, if possible. We suggest a surgical technique that involves a torsoplasty with concomitant nipple-areolar com...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2008.07.008

    authors: Atiyeh BS,Dibo SA,Hayek SN

    更新日期:2008-11-01 00:00:00

  • Nonsurgical Management of Facial Masculinization and Feminization.

    abstract:BACKGROUND:Transgender patients may seek nonsurgical methods for facial masculinization and feminization as an adjunct or alternative to undergoing surgical procedures. OBJECTIVES:The authors reviewed the existing literature regarding this topic and provided an overview of nonsurgical techniques for facial masculiniza...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1093/asj/sjy253

    authors: Ascha M,Swanson MA,Massie JP,Evans MW,Chambers C,Ginsberg BA,Gatherwright J,Satterwhite T,Morrison SD,Gougoutas AJ

    更新日期:2019-04-08 00:00:00

  • Perioral Rejuvenation: A Prospective, Quantitative Dynamic Three-Dimensional Analysis of a Dual Modality Treatment.

    abstract:Background:The perioral region is the most dynamic anatomic area of the face and subject to complex and dramatic changes during aging. Successful treatment for perioral rejuvenation has yet to be identified, and prior studies have reported only subjective outcomes. Objectives:The purpose of this study was to utilize o...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjy060

    authors: Chang CS,Chang BL,Lanni M,Wilson AJ,Beer J,Percec I

    更新日期:2018-10-15 00:00:00

  • Submental muscular medialization and suspension.

    abstract:BACKGROUND:Many techniques have been presented over recent decades to address the neck contour in facial rejuvenation surgery. Despite advances, limitations remain when dealing with the obtuse cervical angle. OBJECTIVE:The authors describe a technique for improving the obtuse cervicomental angle. METHODS:The authors ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1177/1090820X13502220

    authors: Langsdon PR,Velargo PA,Rodwell DW 3rd,Denys D

    更新日期:2013-09-01 00:00:00

  • Evaluation of the Vertical Movement of Ribeiro's Dermolipoglandular Mammary Flap One Year After Mammaplasties in Post-Bariatric Patients.

    abstract:BACKGROUND:In 1971, Ribeiro isolated a segment in the inferior pole of the ptotic breast, nourished by muscular perforating vessels, and moved it cranially to the posterior region of the remaining detached breast tissue, where it was fixed to the pectoral fascia. This maneuver created a flap with autologous implant fun...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjz188

    authors: Sizenando RP,Diniz MTC,da Costa PR,Manhães LGS

    更新日期:2020-01-01 00:00:00

  • Composite Facial Volumization With Calcium Hydroxylapatite (CaHA) for the Treatment of Aging.

    abstract::Paradigms in the treatment of aging have evolved to address volume loss as a central and primary hallmark of the aging face. The concept of "composite volumization" was recently proposed by Dr. Z. Paul Lorenc to describe the effect of Radiesse (Merz Aesthetics, Inc., Raleigh, NC), when placed on bone in the supraperio...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjy026

    authors: Lorenc ZP,Bass LM,Fitzgerald R,Goldberg DJ,Graivier MH

    更新日期:2018-04-06 00:00:00

  • Treatment of depressor anguli oris weakening with the face recurve concept.

    abstract::The authors have created a strategy for rejuvenation of the peribuccal region based on the concept that the repeated contraction of certain fascicles of the mimetic muscles, and not gravity, is the primary cause of structural aging. Treatment is based on a 4-stage strategy, with interventions including botulinum toxin...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2006.08.001

    authors: Le Louarn C,Buis J,Buthiau D

    更新日期:2006-09-01 00:00:00

  • A classification and algorithm for treatment of breast ptosis.

    abstract:BACKGROUND:The Regnault classification of breast ptosis is insufficient for determining surgical strategies for different stages of ptosis. OBJECTIVE:A new clinical classification of breast ptosis is proposed that allows greater precision in the development of an appropriate surgical plan. METHODS:Breast ptosis is cl...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1067/maj.2002.126746

    authors: Kirwan L

    更新日期:2002-07-01 00:00:00

  • How to Maximize Aesthetics in Autologous Breast Reconstruction.

    abstract::With continuous technical and functional advances in the field of breast reconstruction, there is now a greater focus on the artistry and aesthetic aspects of autologous reconstruction. Whereas once surgeons were most concerned with flap survival and vessel patency, they are now dedicated to reconstructing a similarly...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa223

    authors: Wagner RD,Hamilton KL,Doval AF,Spiegel AJ

    更新日期:2020-11-17 00:00:00

  • Current aesthetic use of abobotulinumtoxinA in clinical practice: an evidence-based consensus review.

    abstract::The amount and complexity of scientific and clinical evidence for aesthetic use of botulinum neurotoxin type A (BoNT-A) has expanded rapidly in recent years, especially for abobotulinumtoxinA, necessitating reassessment of current knowledge about aesthetic use of abobotulinumtoxinA and other BoNT-A preparations. A com...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1177/1090820X12455192

    authors: Maas C,Kane MA,Bucay VW,Allen S,Applebaum DJ,Baumann L,Cox SE,Few JW,Joseph JH,Lorenc ZP,Moradi A,Nestor MS,Schlessinger J,Wortzman M,Lawrence I,Lin X,Nelson D

    更新日期:2012-09-01 00:00:00

  • Exacerbation of multiple plane warts following laser skin resurfacing.

    abstract::Laser skin resurfacing has become a well-established treatment for rhytids and epidermal and dermal lesions. We report a rare complication of such treatment: exacerbation of plane warts following laser treatment. A 27-year-old woman underwent outpatient laser treatment at another center to correct skin irregularities ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2006.03.007

    authors: van der Lei B,van Schijndel AW,Blanken R

    更新日期:2006-05-01 00:00:00

  • Power-assisted lipoplasty.

    abstract::Efforts to improve lipoplasty results through the application of focused energy continue to arouse interest. The author's initial experience with power-assisted lipoplasty indicates that this technique is safe, fast, and capable of producing results equal or superior to those achieved through use of traditional lipopl...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1067/maj.2001.113641

    authors: Fodor P

    更新日期:2001-01-01 00:00:00

  • Measuring Quality of Life in Female Genital Cosmetic Procedure Patients: A Systematic Review of Patient-Reported Outcome Measures.

    abstract:BACKGROUND:In the subspecialty of female genital cosmetic procedures, patient satisfaction and quality of life are key outcome measures. As such, valid and reliable patient-reported outcome measures (PROMs) examining these outcomes are essential. OBJECTIVES:The authors sought to identify and scrutinize all PROMs devel...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjz325

    authors: Sharp G,Maynard P,Hamori CA,Oates J,Sarwer DB,Kulkarni J

    更新日期:2020-02-17 00:00:00

  • Using Nasal Self-Esteem to Predict Revision in Cosmetic Rhinoplasty.

    abstract:BACKGROUND:It would be useful if existing tools or outcomes measures could predict which patients are at greater risk of revision surgery following rhinoplasty. OBJECTIVE:We aim to determine if a single question assessing nasal self-esteem could be used to predict which patients are at greatest risk of revision surger...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa252

    authors: Okland TS,Patel P,Liu GS,Most SP

    更新日期:2020-08-28 00:00:00

  • Pocket conversion made easy: a simple technique using alloderm to convert subglandular breast implants to the dual-plane position.

    abstract:BACKGROUND:The advantages of dual-plane, partially submuscular breast implants are well documented. Standard conversion techniques to dual-plane positioning use marionette sutures and internal capsulorrhaphy sutures from the lower edge of the pectoralis major muscle to the anterior capsule or breast fascia within the s...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2008.12.005

    authors: Mofid MM,Singh NK

    更新日期:2009-01-01 00:00:00

  • Biofilm Formation on Breast Implant Surfaces By Major Gram-Positive Bacterial Pathogens.

    abstract:BACKGROUND:Bacterial biofilm on surfaces of mammary implants is a predisposing factor for several outcomes. Since Gram-positive bacteria are potential agents of biomaterial-associated infections (BAIs), their abilities to form biofilm on breast implants should be elucidated. OBJECTIVES:To evaluate biofilm formation on...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa416

    authors: Rezende-Pereira G,Albuquerque JP,Souza MC,Nogueira BA,Silva MG,Hirata R,Mattos-Guaraldi AL,Duarte RS,Neves FPG

    更新日期:2020-12-30 00:00:00

  • Eliminating the vertical scar in breast reduction-Boston modification of the Robertson technique.

    abstract:BACKGROUND:Surgeons often advise patients with large ptotic breasts to undergo a Wise pattern reduction (WPR) mammaplasty using an inferior pedicle technique with consideration of a free-nipple graft. OBJECTIVE:We describe the Boston modification of the Robertson technique (BMRT), which allows for the elimination of t...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2006.10.010

    authors: Movassaghi K,Liao EC,Ting V,Matros E,Morris DJ,Orgill DP,Pribaz JJ

    更新日期:2006-11-01 00:00:00

  • Analysis of the Molecular Signature of the Breast Implant-Associated Anaplastic Large Cell Lymphoma in an Asian Patient.

    abstract::Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)-a new category of anaplastic large cell lymphoma associated with textured breast implants-has a distinct variation in incidence and is especially rare in Asia. We report the first case of BIA-ALCL in Korea and present its histological and genetic char...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa398

    authors: Kim IK,Hong KY,Lee CK,Choi BG,Shin H,Lee JH,Kim MK,Gu MJ,Choi JE,Kim TG

    更新日期:2020-12-26 00:00:00

  • Orbitofacial rejuvenation of temple hollowing with Perlane injectable filler.

    abstract:BACKGROUND:Temple hollowing with soft tissue volume loss is well recognized in HIV lipoatrophy. Similar changes occur as part of aging, with skeletalization of the orbital rim and clipping of the eyebrow tail. OBJECTIVES:The authors report their initial experience treating temple volume loss and orbitofacial asymmetry...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1177/1090820X10374099

    authors: Ross JJ,Malhotra R

    更新日期:2010-05-01 00:00:00

  • Primary Open Rhinoplasty.

    abstract::Rhinoplasty is perhaps the most complex cosmetic surgery procedure performed today. It is characterized by an intricate interplay between form and function, with patient satisfaction being dependent not only on improvement of nasal appearance but also resolution of preexisting airway symptoms. The prerequisite for suc...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjw093

    authors: Momeni A,Gruber RP

    更新日期:2016-10-01 00:00:00

  • Durability of Three Different Types of Hyaluronic Acid Fillers in Skin: Are There Differences Among Biphasic, Monophasic Monodensified, and Monophasic Polydensified Products?

    abstract:Background:Hyaluronic acid fillers are used for facial rejuvenation and are classified as non-cross-linked or cross-linked (monophasic mono- or polydensified). Objectives:To histologically assess the intradermal durability of three types of fillers (biphasic, monophasic monodensified, and monophasic polydensified), to...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjw161

    authors: da Costa A,Biccigo DGZ,de Souza Weimann ET,Mercadante LM,Oliveira PRG,Prebianchi SB,Abdalla BMZ

    更新日期:2017-05-01 00:00:00

  • What Should Be Adequate PRP Dose for an Effective Treatment? An In-Vitro Experimental Study on the Skin.

    abstract:BACKGROUND:The clinical results of many studies on platelet-rich plasma (PRP) differ because there is a lack of standardization in PRP preparation and administration, as well as many variables such as PRP preparation methods, platelet concentration, and platelet activation. OBJECTIVES:The aim of this study was to inve...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjab043

    authors: Görgü M,Gökkaya A,Karanfil E

    更新日期:2021-01-25 00:00:00

  • The Effect of Implant Type on Nipple Position Geometry and Aesthetics Following Tissue Expander Reconstruction After Nipple Sparing Mastectomy.

    abstract:Background:While recent studies have reported modest to no difference in breast aesthetics for shaped and round implant types in breast augmentations, the anatomy and biomechanics in the setting of breast reconstruction is different. Objectives:Accordingly, we endeavored to evaluate whether two implant types impacted ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjx210

    authors: Dorfman RG,Mioton L,Stone E,Yan W,Qiu C,Marla S,Kim JY

    更新日期:2018-05-15 00:00:00

  • Breast reduction scars: a prospective survey of patient preferences.

    abstract:BACKGROUND:Studies have shown that scarring is a primary reason for patient dissatisfaction with reduction mammaplasty. OBJECTIVES:The authors prospectively evaluated patient preferences for the 3 most common breast reduction scar patterns: horizontal, vertical, and Wise. METHODS:Sixty-six patients were recruited for...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1177/1090820X13495868

    authors: White CP,Farhang Khoee H,Kattan AE,Farrokhyar F,Hynes NM

    更新日期:2013-08-01 00:00:00

  • Current Upper Blepharoplasty and Ptosis Management Practice Patterns Among The Aesthetic Society Members.

    abstract:BACKGROUND:Patients presenting for upper blepharoplasty can exhibit different aging patterns and we have anecdotally observed wide variability in upper blepharoplasty approaches among surgeons. However, upper blepharoplasty practice patterns have not been systematically analyzed among The Aesthetic Society members. OB...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa369

    authors: Vaca EE,Bricker JT,Alghoul MS

    更新日期:2020-12-21 00:00:00

  • Refining the goals of oculofacial rejuvenation with dynamic ultrasonography.

    abstract::Volume enhancement/restoration addresses a key component of facial aging and plays an increasingly central role in facial rejuvenation. Advancing our understanding of the structure and morphology of facial aging-and the changes that can be induced with currently-available fillers-will optimize treatment and provide a ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1177/1090820X11434523

    authors: Papageorgiou K,Chang HS,Isaacs D,Fiaschetti D,Ang M,Goldberg R

    更新日期:2012-02-01 00:00:00

  • A Meta-Analysis of the Effects of Abdominoplasty Modifications on the Incidence of Postoperative Seroma.

    abstract:Background:Seroma is the most common complication of abdominoplasty. Certain modifications to abdominoplasty may reduce the risk of seroma. Objectives:The authors evaluated the incidence of seroma for 3 abdominoplasty techniques: preservation of Scarpa's fascia, placement of progressive tension (or quilting) sutures, ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,meta分析

    doi:10.1093/asj/sjx051

    authors: Ardehali B,Fiorentino F

    更新日期:2017-10-16 00:00:00

  • Test-retest Reliability of the BREAST-Q IS in the Australian Breast Device Registry.

    abstract:BACKGROUND:Patient Reported Outcome Measures (PROM) are increasingly used in healthcare to assess outcomes. The BREAST-Q Implant Surveillance (BREAST-Q IS) is a 5-question Patient Reported Outcome Measure (PROM) used by the Australian Breast Device Registry (ABDR) to monitor the performance of breast devices. Validatio...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa342

    authors: Merenda M,Vishwanath S,Ng S,Parker E,Ernest A,Klassen A,Pusic A,Hopper I

    更新日期:2020-12-08 00:00:00

  • The Effects of Fat Harvesting and Preparation, Air Exposure, Obesity, and Stem Cell Enrichment on Adipocyte Viability Prior to Graft Transplantation.

    abstract:BACKGROUND:Adipocyte viability is affected by fat preparation and processing methods, but rigorous and objective studies of these relationships are lacking. OBJECTIVES:The authors conducted a comprehensive evaluation of variables affecting adipocyte viability prior to injection of fat at the recipient site. METHODS:L...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjw106

    authors: Cucchiani R,Corrales L

    更新日期:2016-11-01 00:00:00