Vertical scar reduction mammaplasty: a 15-year experience including a review of 250 consecutive cases.

Abstract:

BACKGROUND:Vertical scar reduction mammaplasty has the advantage of reduced scar burden and improved long-term projection of the breasts. The technique has been criticized for being restricted to cases of mild to moderate mammary hypertrophy and is considered more intuitive and difficult to learn when compared with more conventional inverted-T scar reduction mammaplasties. This article describes the technique used in the largest reported series of vertical scar reduction mammaplasties performed by a single surgeon. METHODS:The technique performed in this series uses a mosque dome skin marking pattern; transposition of the nipple-areola complex on a superior or medial dermoglandular pedicle, depending on its position with respect to the skin markings; an excision en bloc of skin, fat, and gland; postexcision liposuction; and wound closure in two planes, with gathering of the skin of the vertical wound. A chart review of 250 consecutive patients treated between November of 2000 and December of 2003 was performed. RESULTS:The average reduction per breast (including liposuction) was 636 g (range, 60 to 2020 g). Complications were minimal (5.6 percent of breasts), with no nipples being lost, attesting to the safety of this technique. CONCLUSIONS:This technique for vertical scar reduction mammaplasty has been applied to breast reductions of all sizes and has consistently produced good breast shape, with an operation that is shorter to perform and leaves less scarring than standard breast reductions. This technique is straightforward and easy to learn, and offers a safe, effective, and predictable way for treating mammary hypertrophy.

journal_name

Plast Reconstr Surg

authors

Lista F,Ahmad J

doi

10.1097/01.prs.0000218173.16272.6c

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

2152-65; discussion 2166-9

issue

7

eissn

0032-1052

issn

1529-4242

pii

00006534-200606000-00007

journal_volume

117

pub_type

杂志文章
  • Nonsurgical treatment of cicatricial ectropion with hyaluronic acid filler.

    abstract:BACKGROUND:Cicatricial lower eyelid ectropion is caused by a shortening of the anterior lamella, with resultant eversion of the eyelid away from the globe. Treatment is typically surgical; however, the author hypothesized that a nonsurgical injection of hyaluronic acid filler could stretch the tethered skin and act as ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000299382.31856.d8

    authors: Fezza JP

    更新日期:2008-03-01 00:00:00

  • Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases.

    abstract::In the past 5 years, 25 mutilated digits were reconstructed with immediate toe-to-hand transfers after acute hand injuries, for 21 patients. The overall results of the immediate toe-to-hand transfers were evaluated and compared with the results of 65 elective procedures performed during the same period by the same sur...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000105340.26227.b5

    authors: Woo SH,Kim JS,Seul JH

    更新日期:2004-03-01 00:00:00

  • Recent Advances in Implant-Based Breast Reconstruction.

    abstract:LEARNING OBJECTIVES:After reading this article, the participant should be able to: 1. Understand the indications for implant-based breast reconstruction and the indications for nipple preservation compared to skin-sparing or skin-reducing patterns. 2. Understand the indications for direct-to-implant breast reconstructi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006510

    authors: Colwell AS,Taylor EM

    更新日期:2020-02-01 00:00:00

  • Surgical correction of gynecomastia.

    abstract:SUMMARY:Gynecomastia, or persistent enlargement of the male breast, is a common occurrence during early sexual development. Typically, two types of tissue can be identified during this period of growth. Initially, a dense fibrous growth of supporting stroma and breast tissue forms directly under the areola, creating a ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181aa2dc7

    authors: Hammond DC

    更新日期:2009-07-01 00:00:00

  • Long-lasting results with hydroxylapatite (Radiesse) facial filler.

    abstract:BACKGROUND:This study examined the patient satisfaction and longevity of Radiesse, a calcium hydroxylapatite compound, as a facial soft-tissue filler for the glabellar lines, the lips, the nose, the face, and the infraorbital region. METHODS:Radiesse, 0.5 to 2.0 ml, was injected into the designated area in each of the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.prs.0000234902.61284.c9

    authors: Jacovella PF,Peiretti CB,Cunille D,Salzamendi M,Schechtel SA

    更新日期:2006-09-01 00:00:00

  • The "crown" excision of facial skin lesions.

    abstract::We present a method for local excision of facial skin lesions adjacent to the esthetic boundaries of the face. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197602000-00031

    authors: Robbins TH

    更新日期:1976-02-01 00:00:00

  • Incidence of cleft palate fistula: an institutional experience with two-stage palatal repair.

    abstract::The purpose of this study was to determine the incidence of cleft palatal fistula in a series of nonsyndromic children treated at the authors' institution. This retrospective analysis of 103 patients with cleft palate treated by five surgeons between 1982 and 1995 includes 60 boys and 33 girls, whose median age was 18...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200111000-00011

    authors: Muzaffar AR,Byrd HS,Rohrich RJ,Johns DF,LeBlanc D,Beran SJ,Anderson C,Papaioannou aA A

    更新日期:2001-11-01 00:00:00

  • The impact of Smad3 loss of function on TGF-β signaling and radiation-induced capsular contracture.

    abstract:BACKGROUND:Capsular contracture remains a major problem following prosthetic breast implantation, especially in patients undergoing irradiation. Recent studies suggest that such radiation injuries are a cascading process of cytokine activation, with transforming growth factor (TGF)-β acting as the "master switch." Beca...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182131bea

    authors: Katzel EB,Koltz PF,Tierney R,Williams JP,Awad HA,O'Keefe RJ,Langstein HN

    更新日期:2011-06-01 00:00:00

  • A functional magnetic resonance imaging paradigm to identify distinct cortical areas of facial function: a reliable localizer.

    abstract:BACKGROUND:Irreversible facial paralysis can be surgically treated by importing both a new neural and a new motor muscle supply. Various donor nerves can be used. If a nerve supply other than the facial nerve is used, the patient has to adapt to generate a smile. If branches of the fifth cranial nerve are used, the pat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182818b68

    authors: Romeo M,Vizioli L,Breukink M,Aganloo K,Lao J,Cotrufo S,Caldara R,Morley S

    更新日期:2013-04-01 00:00:00

  • Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps.

    abstract::The free anterolateral thigh flap is becoming one of the most preferred options for soft-tissue reconstruction. Between June of 1996 and August of 2000, 672 anterolateral thigh flaps were used in 660 patients at Chang Gung Memorial Hospital. Four hundred eighty-four anterolateral thigh flaps were used for head and nec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200206000-00007

    authors: Wei FC,Jain V,Celik N,Chen HC,Chuang DC,Lin CH

    更新日期:2002-06-01 00:00:00

  • Postpericardiotomy syndrome: its diagnosis and treatment after muscle flap closure of an infected sternal wound.

    abstract::After nearly any form of cardiac surgery, an acute febrile illness characterized by leukocytosis, pericarditis with pericardial effusion, and pleural effusion may occur. In some instances, this postpericardiotomy syndrome may suggest the presence of mediastinal infection. Treatment of postpericardiotomy syndrome is co...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Workman ML,Blinkhorn R,Smith AA

    更新日期:1995-09-01 00:00:00

  • Facial asymmetry: three-dimensional analysis using laser surface scanning.

    abstract::This study evaluates six different techniques with respect to their ability to quantitatively describe facial asymmetry in three dimensions. Three-dimensional facial images were acquired using a Cyberware 3030RGB laser surface scanner. Image processing was performed on a Silicon Graphics Indigo computer workstation. T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199909040-00006

    authors: O'Grady KF,Antonyshyn OM

    更新日期:1999-09-01 00:00:00

  • The surgical management of orbitofacial dermoids in the pediatric patient.

    abstract::Orbitofacial dermoids in the pediatric population represent a diverse group of lesions. Because of their variability in both clinical presentation and contiguous structure involvement, a thorough understanding of their surgical-pathologic anatomy is imperative. In this retrospective review of 84 lesions in 84 patients...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199306000-00005

    authors: Bartlett SP,Lin KY,Grossman R,Katowitz J

    更新日期:1993-06-01 00:00:00

  • A novel mouse model of cutaneous radiation injury.

    abstract:BACKGROUND:Radiation therapy is a cornerstone of oncologic treatment. Skin tolerance is often the limiting factor in radiotherapy. To study these issues and create modalities for intervention, the authors developed a novel murine model of cutaneous radiation injury. METHODS:The dorsal skin was isolated using a low-pre...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181fed4f7

    authors: Thanik VD,Chang CC,Zoumalan RA,Lerman OZ,Allen RJ Jr,Nguyen PD,Warren SM,Coleman SR,Hazen A

    更新日期:2011-02-01 00:00:00

  • Rhinoplasty: a simplified, three-stitch, open tip suture technique. Part I: primary rhinoplasty.

    abstract::Tip suture techniques offer a reliable and dramatic method of tip modification without needing to interrupt the alar rim strip or add tip grafts. The present simplified three-stitch technique consists of the following: (1) a strut suture to fix the columella strut between the crura, (2) bilateral domal creation suture...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199904050-00022

    authors: Daniel RK

    更新日期:1999-04-01 00:00:00

  • A comparison of factors affecting aesthetic outcomes of TRAM flap breast reconstructions.

    abstract::The aesthetic results of TRAM flap breast reconstructions were assessed in 237 consecutive breast cancer patients. Nine independent judges, none of whom were plastic surgeons or members of the reconstructive team, assigned an aesthetic score to each patient after viewing postoperative photographs. We found that bilate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199509001-00015

    authors: Kroll SS,Coffey JA Jr,Winn RJ,Schusterman MA

    更新日期:1995-09-01 00:00:00

  • Donor-site morbidity of the pedicled rectus femoris muscle flap.

    abstract::The rectus femoris muscle flap is well known for its reliable anatomy, the ease with which it can be harvested, and its great versatility. As a pedicled or free flap, it is used to cover soft-tissue defects and to recreate motor function. Although the muscle is very reliable, it is not well respected because of its as...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000152422.64505.2a

    authors: Daigeler A,Dodic T,Awiszus F,Schneider W,Fansa H

    更新日期:2005-03-01 00:00:00

  • Basal cell carcinoma in the groin of a black patient with femoral vessel invasion and a second primary malignancy.

    abstract::We have presented an unusual case of basal cell carcinoma that presented in a 76-year-old black woman. This is an atypical case in that it occurred in a black patient, and the incidence of basal cell carcinoma is low in black people. The lesion was located in the groin, which is an uncommon location for basal cell car...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199610000-00022

    authors: Beckenstein MS,Windle BH

    更新日期:1996-10-01 00:00:00

  • Laser deepithelialization: an adjunct to reduction mammaplasty.

    abstract::A new use is described for the CO2 laser--that of deepithelialization. Deepithelialization is a technique used in a myriad of plastic surgical procedures. This paper introduces the use of the laser for deepithelialization and illustrates its advantages in 44 consecutive patients undergoing reduction mammaplasty. Advan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198705000-00013

    authors: Becker DW Jr,Bunn JC

    更新日期:1987-05-01 00:00:00

  • The fate of transplanted fibrous capsule as an autogenous graft.

    abstract:BACKGROUND:In reconstructive and aesthetic surgery, several autogenous graft materials and biomaterials are available for soft-tissue augmentation, but none has all the properties of the ideal filler material. The common problem is that heterogeneous material is reactive, and the problem for the autogenous grafts is re...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000156152.97672.31

    authors: Sarifakioglu N,Gökrem S,Bingul F,Ustun H,Aslan G

    更新日期:2005-04-01 00:00:00

  • Early cleft palate repair and speech outcome.

    abstract::Speech production and age at palatal repair were investigated in 80 cleft palate children. Children whose palates were repaired prior to the onset of speech production demonstrated significantly better speech than those whose palates were repaired between 12 and 27 months of age. The supposition that earlier palatal r...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198207000-00015

    authors: Dorf DS,Curtin JW

    更新日期:1982-07-01 00:00:00

  • Electrical burns causing a urinary bladder fistula. Case report.

    abstract::We present a patient with electrical burns which resulted in loss of the right upper arm and a urinary bladder fistula. A jump flap was used to cover the repaired bladder, and also to cover the stump of the amputated right arm. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197803000-00026

    authors: Chari PS,Bapna BC,Balakrishnan C

    更新日期:1978-03-01 00:00:00

  • Aesthetic abdominal deformities: a personal approach to the posterior rectus sheath and rectus muscles.

    abstract::We have detailed our experience with abdominoplasty. The technique is based on undermining of the rectus abdominis muscle, treatment of the posterior sheath, and limited resection of the medial edge of the rectus muscle. The fatty and muscular redundancy in the epigastric region has been eliminated by resection of the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198505000-00007

    authors: de Pina DP

    更新日期:1985-05-01 00:00:00

  • The incidence of tuberous breast deformity in asymmetric and symmetric mammaplasty patients.

    abstract:BACKGROUND:Breast asymmetry is commonly accompanied by tuberous deformity. To date, no study has reported the incidence of this breast deformity in the presence of asymmetry. A retrospective analysis of standard preoperative photographs was performed on 375 consecutive female patients presenting for mammaplasty over a ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000189206.94466.a9

    authors: DeLuca-Pytell DM,Piazza RC,Holding JC,Snyder N,Hunsicker LM,Phillips LG

    更新日期:2005-12-01 00:00:00

  • The effect of unilateral partial facial paralysis on nasofrontal sutural growth: an experimental study in the rabbit.

    abstract::In a previous study in the rabbit, it was demonstrated that paralysis of the midfacial musculature results in decreased anteroposterior growth of the snout. At the end of growth, these animals showed macroscopically striking similarities to animals with unilateral fusion of the nasofrontal suture. In this study, wheth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199906000-00013

    authors: Sinsel NK,Guelinckx PJ,Opdebeeck H

    更新日期:1999-06-01 00:00:00

  • The shifting paradigm in the management of giant congenital melanocytic nevi: review and clinical applications.

    abstract:SUMMARY:Congenital melanocytic nevi remain a subject of controversy with respect to risk of malignant transformation and recommended management. Recent studies indicate a lower malignant risk (0.7 to 2.9 percent) than had previously been estimated. Surgery has not been proven to reduce malignant risk or improve quality...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000436852.32527.8a

    authors: Arad E,Zuker RM

    更新日期:2014-02-01 00:00:00

  • Treatment of sternal nonunion with the Dall-Miles cable system.

    abstract::We have used this technique in two patients. One had early sternal dehiscence with presternal infection, and the other had late sternal nonunion. Uncomplicated sternal union was achieved in both patients. The cables were nonpalpable in both patients, but they were removed in one patient at that patient's request. This...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200010000-00019

    authors: Eich BS,Heinz TR

    更新日期:2000-10-01 00:00:00

  • A modification of the great-toe transfer for thumb reconstruction.

    abstract::A modification of the great-toe-to-thumb transfer is presented, which includes sculpting the transferred toe with removal of soft-tissue pulp and bone from the lateral side of the toe. This modification provides the aesthetic advantages of the wrap-around flap while avoiding problems of bone graft resorption, pulp mob...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198809000-00033

    authors: Upton J,Mutimer K

    更新日期:1988-09-01 00:00:00

  • A multiphase system bone implant for regenerating the calvaria.

    abstract::The regeneration of bone with a biodegradable, biocompatible carrier and osteo-regenerative proteins may be possible if the carrier has the appropriate architecture to support osteoconduction and prevent soft-tissue prolapse into ablated bone segments. Using radiomorphometry and histomorphometry, our group assessed in...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199304000-00002

    authors: Kleinschmidt JC,Marden LJ,Kent D,Quigley N,Hollinger JO

    更新日期:1993-04-01 00:00:00

  • Nipple-areola reconstruction: satisfaction and clinical determinants.

    abstract::After performing a chart review, the authors identified 120 patients who underwent breast cancer-related reconstruction. All charts were evaluated with regard to breast mound reconstruction type, nipple-areola reconstruction type, the interval between breast mound and nipple-areola reconstruction, the number of proced...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200208000-00013

    authors: Jabor MA,Shayani P,Collins DR Jr,Karas T,Cohen BE

    更新日期:2002-08-01 00:00:00