Septum-based mammaplasty: a surgical technique based on Würinger's septum for breast reduction.

Abstract:

BACKGROUND:During the past 7 years, the senior author (M.H.) has been performing septum-based mammaplasty. The aim of this article is to report the safety and ease of breast shaping by using this technique. METHODS:A series of 110 consecutive patients underwent septum-based breast reduction performed by a single surgeon. This technique uses a lateral or medial pedicle based on Würinger's horizontal septum, which carries the main nerve supply to the nipple in addition to intercostal perforators. RESULTS:Mean nipple-to-sternal notch distance was 33 cm (range, 22 to 45 cm). Mean resection was 658 g (range, 160 to 1980 g). Nipple elevation was 9 cm on average (range, 3 to 17 cm). A retroareolar hematoma occurred in three breasts. Total areola necrosis occurred in one breast (0.5 percent) as a result of an infection in a diabetic patient. Limited wound dehiscence occurred in 15 breasts (7.7 percent). A secondary scar revision was needed in 10 patients (9 percent). One patient required a revision. CONCLUSIONS:Based on a well-vascularized and constant anatomical septum, a septum-based pedicle is safe, even in large breasts. This technique is safe and demonstrates ease of pedicle shaping and breast remodeling in patients undergoing reduction mammaplasty.

journal_name

Plast Reconstr Surg

authors

Hamdi M,Van Landuyt K,Tonnard P,Verpaele A,Monstrey S

doi

10.1097/PRS.0b013e318196b852

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

443-454

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-200902000-00002

journal_volume

123

pub_type

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