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Improving long-term breast shape with the medial pedicle wise pattern breast reduction.

Abstract：

BACKGROUND:Reduction mammaplasty has both a reconstructive and an aesthetic component. Relief of neck, back, and shoulder pain, as well as psychosocial improvement, is the main indication for intervention. Patient satisfaction is high, with early improvement in most cases. Preoperative planning confirms the anatomical variations as well as the best technique to achieve optimal cosmetic and functional results. Techniques for breast reduction have evolved in response to the great variety of challenges. The surgeon must tailor the surgical approach by considering a wide range of anatomic deformities, from gigantomastia to mild ptosis. Medial pedicle techniques have been shown to be reliable in severe breast hypertrophy. METHODS:The authors present a series of 88 consecutive patients who underwent reduction mammaplasty using a medial pedicle technique with a Wise pattern skin resection. The purpose of the study was to evaluate the complication rate, operative time, and long-term effects on pseudoptosis. RESULTS:The average weight reduction was 1814 g (both breasts combined), and the average operative time was 104.5 minutes. Patients were followed up for a minimum of 1 year, and the complication rate was 6.8 percent. The distance from the inframammary fold to the nipple was measured in patients with more than 1 year of follow-up. The results exhibited an average increase in this length of only 11 percent for reductions between 500 and 1200 g per side and of 34 percent for reductions greater than 1200 g per side. CONCLUSIONS:The authors conclude that this technique is an effective and reliable approach to a wide range of breast hypertrophy, with reproducible breast weight reduction and less long-term pseudoptosis or "bottoming out." In addition, the operative time is short and the complication rate is acceptably low.

journal_name

Plast Reconstr Surg

journal_title

Plastic and reconstructive surgery

authors

Abramson DL,Pap S,Shifteh S,Glasberg SB

doi

10.1097/01.prs.0000165085.23537.a7

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

1937-43

issue

eissn

0032-1052

issn

1529-4242

pii

00006534-200506000-00018

journal_volume

115

pub_type

杂志文章

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Improving long-term breast shape with the medial pedicle wise pattern breast reduction.