83 results match your criteria Breast Reduction Central Pedicle


A Review and Measurement Study of the Central Mound Pedicle for Breast Reduction.

Authors:
Eric Swanson

Plast Reconstr Surg Glob Open 2021 Jun 7;9(6):e3615. Epub 2021 Jun 7.

Swanson Center, Leawood, Kans.

The central mound approach to breast reduction has been the subject of recent interest in the literature. However, quantitative evaluation using measurements is lacking. This review was undertaken to objectively evaluate changes in breast dimensions, and to compare the results to a popular alternative method, vertical mammaplasty. Read More

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A successful breastfeeding after vertical scar reduction mammaplasty with superior pedicle: A case report.

Ann Med Surg (Lond) 2020 Dec 22;60:600-603. Epub 2020 Nov 22.

Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.

Introduction: Most of patients undergo reduction mammaplasty for aesthetic or therapeutic reasons without consider the effect on breastfeeding function. Vertical scar mammaplasty with superior pedicle is expected to be a breast reduction procedure that can keep maintain the function of breastfeeding. This is the first recorded report of breastfeeding after vertical scar reduction mammaplasty with superior pedicle in Indonesia. Read More

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December 2020

The Central Mound Pedicle: A Safe and Effective Technique for Reduction Mammaplasty.

Plast Reconstr Surg 2020 10;146(4):725-733

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, Los Angeles; and Plastic Surgery Specialists.

Background: The central mound technique offers a relatively less common approach for breast reduction. This study evaluated the expected safety and efficacy outcomes using this technique in a large patient series.

Methods: A retrospective review of all patients undergoing central mound breast reduction at the authors' institution between June of 1999 and November of 2018 was performed. Read More

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October 2020

Septum-Based Mammaplasties: Surgical Techniques and Evaluation of Nipple-Areola Sensibility.

Aesthetic Plast Surg 2020 06 3;44(3):689-697. Epub 2020 Mar 3.

Division of Plastic Surgery, Sant'Andrea Hospital, NESMOS Department, School of Medicine and Psychology, "Sapienza" University of Rome, Rome, Italy.

Background: The aim of the study was to describe details of surgical techniques and objectively evaluate nipple-areola (NAC) sensibility and viability of septum-based mammaplasties compared to not septum-based reduction techniques.

Methods: Data regarding NAC sensibility for static and moving one- and two-point discrimination were prospectively collected from 63 active group hypertrophic-breasted patients undergoing septum-based reduction mammaplasty preoperatively, at 6 and 12 months postoperatively, and from a control group of 60 patients who underwent not septum-based techniques. Fixed and mixed effect models were used for statistical analysis. Read More

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Breast Reduction: 33 Years Using a Single Central Block.

Aesthetic Plast Surg 2019 12 3;43(6):1480-1488. Epub 2019 Oct 3.

, Fortaleza, Brazil.

Background: Since 1985, the author has been using the single central block technique for breast reduction and mastopexy, prioritizing the good relation between the final breast shape and the length of the scars, different from other authors who emphasize only the shape of the breast (Peixoto in Plast Reconstr Surg 65(2):217-225, 1980; Aesthet Plast Surg 8:231-236, 1984) and others who have drawn attention to the length of the scars (Arié in Rev Latinoam Cir Plast 3:23-31, 1957; Bozola in Plast Reconstr Surg 85:728-738, 1990; Sepúlveda in Rev Bras Cir 71(1):11-18, 1981). In this study, the author describes the use of a single central block of the mammary tissue and the nipple-areolar complex (NAC), dissected from the skin flaps and based on the superior vascular pedicle for reduction mammoplasty and mastopexy (Erfon et al. in Annals of the international symposium recent advances in plastic surgery, São Paulo, 1989; Hinderer (ed) Plastic surgery, Elsevier, Madrid, 1992; Proceedings of the 65th annual scientific meeting of the American society of plastic and reconstructive surgeons, Dallas, 1996). Read More

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December 2019

Inferior and Central Mound Pedicle Breast Reduction in Gigantomastia: A Safe Alternative?

J Invest Surg 2021 Apr 12;34(4):401-407. Epub 2019 Aug 12.

Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.

Background: Gigantomastia has been described as excessive hypertrophy of the female breast, however, there is controversy about the weight of the excised tissue. In the literature, resected tissue amount between 1,000 g and 2,000 g per breast is reported as gigantomastia. : The aim of this study is to evaluate the results of the patients who underwent reduction mammaplasty with a resection amount of at least 1,000 g or above via inferior pyramidal pedicle breast reduction technique retrospectively. Read More

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Secondary reduction mammaplasty: does initial pedicle design matter?

J Plast Surg Hand Surg 2019 Apr 18;53(2):105-110. Epub 2019 Jan 18.

c The Georgia Institute for Plastic Surgery , Savannah , GA , USA.

Reduction mammaplasty is one of the most common plastic surgical procedures performed in the United States. Occasionally patients will require a second reduction to address persistent or recurrent symptomatic macromastia. When the vascular pedicle of a primary breast reduction is unknown, there is uncertainty regarding how best to proceed with a secondary reduction. Read More

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Central pedicle reduction mammaplasty with a vertical scar: a technical modification.

J Plast Surg Hand Surg 2017 Dec 18;51(6):436-445. Epub 2017 Apr 18.

b Department of Plastic Surgery , Inha University School of Medicine , Incheon , Korea.

Background: This study introduces a central pedicle reduction mammaplasty with a vertical scar technique.

Objectives: This study is aimed to create a more conical breast shape and long-lasting better projection by modifying reduction mammaplasty by central pedicle flap.

Method: Preoperative markings were made including the meridian line of breast and the new location of the nipple-areola complex (NAC). Read More

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December 2017

Immediate Breast Reconstruction of a Nipple Areolar Lumpectomy Defect With the L-Flap Skin Paddle Breast Reduction Design and Contralateral Reduction Mammoplasty Symmetry Procedure: Optimizing the Oncoplastic Surgery Multispecialty Approach.

Eplasty 2017 31;17:e14. Epub 2017 Mar 31.

Division of Plastic and Reconstructive Surgery.

We describe a modification of the inferior pedicle reduction mammoplasty for oncoplastic reconstruction of a central tumor defect. Our technique involved a deepithelialized L-shaped medial inferior based flap with removal of lateral breast tissue after central lumpectomy with a contralateral Wise-pattern mastopexy with inferior pedicle for symmetry. This technique is ideal for patients with large, ptotic breasts that desire breast conservation with immediate reconstruction. Read More

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Septum-Enhanced Mammaplasty in Inferocentral Pedicled Breast Reduction for Macromastia and Gigantomastia Patients.

Aesthetic Plast Surg 2017 Oct 3;41(5):1037-1044. Epub 2017 Apr 3.

Department of Plastic and Reconstructive Surgery, University of Foggia, Foggia, Italy.

Background: Inferior pedicle and free nipple grafting are commonly used as breast reduction techniques for patients with breast hypertrophy and gigantomastia. Limitations of these techniques are, respectively, possible vascular compromise and total/partial necrosis of the nipple-areola complex (NAC). The authors describe the innovative inferocentral pedicled reduction mammaplasty (ICPBR) enhanced by preservation of Würinger's septum for severe hypertrophic breasts. Read More

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October 2017

Simple Reshaping of the Breast in Massive Weight Loss Patients: Promising Preliminary Results.

Ann Plast Surg 2017 Feb;78(2):145-148

From the *Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark; †Department of Plastic Surgery, Telemark Hospital, Skien, Norway; ‡Clinic for Plastic Surgery, Mølhom Private Hospital, Vejle, Denmark; §Division of Plastic Surgery, Mount Sinai Medical System, New York, NY; ∥Department of Plastic Surgery, Lillebaelt Hospital, Vejle & Odense University Hospital, Odense, Denmark.

Background: The challenging breast reshaping after massive weight loss (MWL) has been increasingly performed as the number of bariatric surgery procedures increase worldwide. The breasts often appear wide, lateralized, and deflated, with significant ptosis.

Objectives: The aim of this article is to share our initial experience using the lower pole subglandular advancement mastoplasty (LOPOSAM) technique to reshape the breasts in MWL patients and to elaborate the technical details and simplicity of the method in the attached video. Read More

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February 2017

Safety and Outcomes in Rereduction Mammaplasty: Single Institution Experience and Review of the Literature.

Ann Plast Surg 2017 Feb;78(2):141-144

From the Division of Plastic Surgery, Department of Surgery, Emory University, Atlanta, GA.

Background: Reduction mammaplasty is commonly performed for symptomatic macromastia and is useful in achieving symmetry in unilateral breast reconstruction and oncoplastic surgery. Postoperatively, however, recurrent macromastia or asymmetry often develops. In the past, there has been concern about safely resecting additional volume and moving the nipple. Read More

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February 2017

Autoaugmentation Mastopexy Modification Prevents Bottoming-Out Deformity and Areola Distortion: A Preliminary Report.

Authors:
Safvet Ors

Aesthetic Plast Surg 2016 Aug 27;40(4):497-506. Epub 2016 May 27.

SO-EP Aesthetic & Plastic Surgery Clinic, Seyitgazi Mah. Seyyid Burhaneddin Bulv. No: 51/A, 38050, Kayseri, Turkey.

Background: Ptotic breast deformity results from involution of breast parenchyma and leads to a loss of volume, along with a converse laxity of the skin envelope. As the breast tissue descends inferiorly with gravity, there is an apparent volume loss in the upper pole and the central breast, and the lower pole becomes fuller and often wider. This study presents modifications for a well-known mastopexy technique which provides not only autoaugmentation for the breast but also suspension for the breast parenchyma and reduces bottoming-out deformity, and also obtains a regular areola shape in all types of breasts. Read More

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Central Pedicle Reduction in Gigantomastia Without Free Nipple Graft.

Ann Plast Surg 2016 Apr;76(4):383-7

From the *Department of Plastic, Reconstructive and Aesthetic Surgery, School of Medicine, Necmettin Erbakan University, Konya, Turkey; and †Department of Plastic, Reconstructive and Aesthetic Surgery, School of Medicine, Selcuk University, Konya, Turkey.

Background: Various pedicle techniques have been described in breast reduction surgery. However, in cases of massive hypertrophy, the free nipple graft technique is still being performed by some surgeons out of fear of losing the nipple-areolar complex (NAC). As such, we evaluated patients with severe gigantomastia who underwent the central pedicle horizontal scar reduction mammaplasty technique. Read More

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Breast Auto-Augmentation: A Versatile Method of Breast Rehabilitation-A Retrospective Series of 107 Procedures.

Arch Plast Surg 2015 Jul 14;42(4):438-45. Epub 2015 Jul 14.

Department of Aesthetic and Reconstructive Breast Surgery, London Breast Institute, London, UK.

Background: Breast auto-augmentation (BAA) using an inferior pedicle dermoglandular flap aims to redistribute the breast tissue in order to increase the fullness in the upper pole and enhance the central projection of the breast at the time of mastopexy in women who want to avoid implants. The procedure achieves mastopexy and an increase in breast volume.

Methods: Between 2003 and 2014, 107 BAA procedures were performed in 53 patients (51 bilateral, 2 unilateral and 3 reoperations) with primary or secondary ptosis of the breast associated with loss of fullness in the upper pole (n=45) or undergoing explantation combined with capsulectomy (n=8). Read More

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Central pedicle reduction mammoplasty: a reliable technique.

Authors:
Mee-Hoong See

Gland Surg 2014 Feb;3(1):51-4

Breast Surgery Unit, Department of Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, Malaysia.

Reduction mammoplasty is one of the most frequently performed procedures in plastic surgery for macromastia or gigantomastia. Recently it is also evolved for oncoplastic breast cancer surgery due to equivalent in terms of outcome for breast conserving surgery with radiotherapy versus mastectomy. Various techniques and modification has been made to achieve long lasting and aesthetically good result with minimal morbidity. Read More

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February 2014

Incidence of occult contralateral carcinomas of the breast following mastoplasty aimed at symmetrization.

Ann Chir Plast Esthet 2014 Apr 13;59(2):e21-8. Epub 2014 Feb 13.

Institut de cancérologie de Lorraine-Alexis-Vautrin, 6, avenue de Bourgogne, 54519 Vandœuvre-lès-Nancy, France.

Introduction: Breast carcinomas are the most frequent form of cancer in French women. Following a total mastectomy, only an estimated 25% of patients wish to undergo breast reconstruction. After mammary volume reconstitution, the plastic surgeon often attempts to harmonize the two breasts by carrying out contralateral reduction mammaplasty (CRM). Read More

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Neoareolar wise pattern reduction in patients requiring central partial mastectomy.

Ann Surg Oncol 2013 Oct 22;20(10):3351. Epub 2013 Aug 22.

General Surgery, Virginia Mason Medical Center, Seattle, WA, USA.

Background: Oncoplastic surgery integrates breast cancer resection with tissue transfer techniques to preserve breast cosmesis. With the novel methods developed in the oncoplastic movement, we are capable of performing larger resections with clear margins while minimizing the cosmetic deformity caused by more traditional surgical techniques. Central and retroareolar breast cancers continue to be a cosmetic challenge because removal of the central portion of the breast can be particularly deforming. Read More

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October 2013

Meridian pedicle-based breast shaping in reduction mammaplasty: a technical modification.

Aesthetic Plast Surg 2013 Apr 5;37(2):372-9. Epub 2013 Feb 5.

Department of Plastic Reconstructive and Aesthetic Surgery, Kirikkale University School of Medicine, Kirikkale, Turkey.

Background: We present a technical modification of vertical reduction mammaplasty which provides a reliable pedicle that can be used in large and highly ptotic breasts with confidence when compared to vertical mammaplasty techniques without sacrificing conical breast shape and projection, in contrast to Wise pattern reduction techniques.

Methods: Thirty-two patients under general anesthesia were operated on using this modification between 2008 and 2012. The surgical technique is as follows: after general anesthesia induction and local anesthetic infiltration, skin incisions are made according to preoperative drawings. Read More

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Comparing reduction mammaplasty specimens between superior and central pedicle techniques: a retrospective study.

Eur J Cancer Prev 2013 Jul;22(4):348-51

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey.

Unlabelled: The aim of this study was to evaluate the histologic diagnoses of the reduction mammaplasty specimens in two retrospective series of patients operated using superior and central pedicle mammaplasties. Between November 2000 and December 2011, 60 consecutive patients (120 breasts) underwent breast reduction using the superior pedicle technique with a vertical scar (Lejour's technique). These patients were compared with another series of 80 patients (150 breasts) who underwent breast reduction using a vertical scar mammaplasty with a central pedicle (Copcu's technique). Read More

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[Reduction mammaplasty with central gland pedicle based on Würinger's horizontal septum].

Zhonghua Zheng Xing Wai Ke Za Zhi 2012 Jul;28(4):245-7

Department of Plastic Surgery, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Objective: To investigate the method and efficacy of reduction mammaplasty with central gland pedicle based on Würinger' s horizontal septum in the treatment of female breast hypertrophy.

Methods: From Mar. 2009 to Sept. Read More

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The central pillar technique: a new septum-based pedicle design for reduction mammaplasty.

Aesthet Surg J 2012 Jul;32(5):578-90

Department of Plastic Reconstructive & Aesthetic Surgery, Marmara University School of Medicine, Istanbul, Turkey.

Background: Successful breast reduction involves remodeling the breast parenchyma and creating a pedicle to maintain blood supply to the nipple-areola complex (NAC). Although vascular compromise is generally venous in breast reduction surgery, clear anatomical descriptions of the breast veins are lacking in textbooks.

Objectives: The author designed an NAC flap based on arterial and venous territories defined in a cadaver study and subsequently assessed the technique in a series of live patients. Read More

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The three dermoglandular flap support in reduction mammaplasty.

Plast Reconstr Surg 2012 Jul;130(1):1e-10e

Bari, Italy From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Consorziale Policlinico, University of Bari.

Background: Bilateral breast reduction is an established procedure performed to relieve the physical pain and psychological discomfort associated with heavy, pendulous breasts. Numerous techniques have been developed over the years with several refinements to obtain safe nipple-areola complex transposition and harmonious breast shape. Based on the experience of the senior author (M. Read More

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Central pedicled breast reduction technique in male patients after massive weight loss.

Obes Surg 2012 Mar;22(3):445-51

Department of Plastic and Reconstructive Surgery, Dreifaltigkeits-Hospital, Wesseling, Germany.

Male patients after massive weight loss often suffer from redundant skin and soft tissue in the anterior and lateral chest region, causing various deformities of pseudogynecomastia. Techniques with free or pedicled nipple-areola complex (NAC) transposition are widely accepted. The authors present their approach to male breast reduction with preservation of the NAC on a central dermoglandular pedicle and a wide elliptical tissue excision of breast and lateral thorax tissue in combination with liposuction. Read More

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Details on the central-superior pedicle for breast reduction.

Plast Reconstr Surg 2010 Oct;126(4):1404-1405

Department of Plastic Surgery; University of Torino (Datta) Department of Plastic Surgery; San Giovanni Bosco Hospital; Torino, Italy (Carlucci).

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October 2010

Superior pedicle autoaugmentation mastopexy: a review of 34 consecutive patients.

Aesthet Surg J 2010 Mar;30(2):201-10

Northwestern University, Division of Plastic and Reconstructive Surgery, Chicago, Illinois, USA.

Background: The ptotic breast deformity results from two synergistic forces: involution of breast parenchyma leading to a loss of volume, along with a converse laxity of the skin envelope, which becomes inelastic and accommodating. As the breast tissue descends inferiorly on the chest wall with gravity, there is an apparent volume loss in the upper pole and the central breast, and the lower pole becomes fuller and often wider.

Objectives: The authors propose a technique whereby the superior pedicle vertical mammaplasty technique originally described by Lassus is modified to include transposition of glandular tissue to restore central mound projection while simultaneously narrowing the lower breast base and raising the inframammary crease. Read More

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Practice profiles in breast reduction: a survey among Canadian plastic surgeons.

Can J Plast Surg 2008 ;16(3):157-61

Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia;

Background: Breast reduction is an increasingly common procedure performed by Canadian plastic surgeons. Recent studies in the United States show that use of the inferior/central pedicle inverted T scar method is predominant. However, it is unknown what the practice preferences are among Canadian plastic surgeons. Read More

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November 2011

Selective breast reduction: a personal approach with a central-superior pedicle.

Plast Reconstr Surg 2009 Feb;123(2):433-442

Turin, Italy From the Department of Plastic Surgery, University of Turin.

Background: Breast reduction shows a greater risk of complications in peculiar cases such as those with gigantomastia, a high degree of ptosis, obesity, smoking, cardiovascular diseases, or metabolic disorders. The authors feel that a reduction in the complication rate can be achieved by safeguarding the vascular and nervous structures of the breast as much as possible.

Methods: The authors propose a breast reduction method based on a double central-superior pedicle that was used in 91 patients with a more or less elevated degree of obesity. Read More

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February 2009

Re-defining pseudoptosis from a 3D perspective after short scar-medial pedicle reduction mammaplasty.

J Plast Reconstr Aesthet Surg 2010 Feb 16;63(2):346-53. Epub 2008 Dec 16.

The Institute of Reconstructive Plastic Surgery, New York University Medical Center New York, NY 10017, USA.

Background: Bottoming out is a well-known phenomenon described with reduction mammaplasty (RM). To date, the evaluation of post-operative bottoming out remains an imprecise science. The following study reports the application of three-dimensional (3D) photography to objectively investigate changes in breast morphology. Read More

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February 2010