77 results match your criteria Breast Reduction Central Pedicle


Secondary reduction mammaplasty: does initial pedicle design matter?

J Plast Surg Hand Surg 2019 Jan 18:1-6. 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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https://www.tandfonline.com/doi/full/10.1080/2000656X.2018.1
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http://dx.doi.org/10.1080/2000656X.2018.1556670DOI Listing
January 2019
1 Read

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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http://dx.doi.org/10.1080/2000656X.2017.1305390DOI Listing
December 2017
7 Reads

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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379251PMC
March 2017
24 Reads

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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http://link.springer.com/10.1007/s00266-017-0868-1
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http://dx.doi.org/10.1007/s00266-017-0868-1DOI Listing
October 2017
8 Reads

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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http://dx.doi.org/10.1097/SAP.0000000000000816DOI Listing
February 2017
4 Reads

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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http://dx.doi.org/10.1097/SAP.0000000000000848DOI Listing
February 2017
4 Reads

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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http://dx.doi.org/10.1007/s00266-016-0652-7DOI Listing
August 2016
14 Reads

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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http://dx.doi.org/10.1097/SAP.0000000000000388DOI Listing
April 2016
7 Reads

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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http://e-aps.org/journal/view.php?doi=10.5999/aps.2015.42.4.
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http://dx.doi.org/10.5999/aps.2015.42.4.438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513052PMC
July 2015
2 Reads

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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http://dx.doi.org/10.3978/j.issn.2227-684X.2014.02.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4115776PMC
February 2014
3 Reads

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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http://dx.doi.org/10.1016/j.anplas.2013.12.007DOI Listing
April 2014
5 Reads

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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http://dx.doi.org/10.1245/s10434-013-3149-5DOI Listing
October 2013
4 Reads

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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http://dx.doi.org/10.1007/s00266-013-0064-xDOI Listing
April 2013
9 Reads

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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http://dx.doi.org/10.1097/CEJ.0b013e32835b382eDOI Listing
July 2013
8 Reads

[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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July 2012
10 Reads

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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http://dx.doi.org/10.1177/1090820X12448657DOI Listing
July 2012
9 Reads

The three dermoglandular flap support in reduction mammaplasty.

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

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

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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http://dx.doi.org/10.1097/PRS.0b013e31823ae90cDOI Listing
July 2012
8 Reads

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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http://dx.doi.org/10.1007/s11695-011-0583-yDOI Listing
March 2012
5 Reads

Details on the central-superior pedicle for breast reduction.

Plast Reconstr Surg 2010 Oct;126(4):1404-5; author reply 1405-6

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http://dx.doi.org/10.1097/PRS.0b013e3181ea9154DOI Listing
October 2010
2 Reads

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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http://asj.oxfordjournals.org/content/asj/30/2/201.full.pdf
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http://asj.oxfordjournals.org/cgi/doi/10.1177/1090820X103660
Publisher Site
http://dx.doi.org/10.1177/1090820X10366009DOI Listing
March 2010
5 Reads

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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691010PMC
November 2011
5 Reads

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

Plast Reconstr Surg 2009 Feb;123(2):433-42

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

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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https://insights.ovid.com/crossref?an=00006534-200902000-000
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http://dx.doi.org/10.1097/PRS.0b013e3181954c9aDOI Listing
February 2009
4 Reads

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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http://dx.doi.org/10.1016/j.bjps.2008.11.023DOI Listing
February 2010
6 Reads

Breast reduction: safe in the morbidly obese?

Plast Reconstr Surg 2008 Aug;122(2):370-8

Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas 77555, USA.

Background: With an increasing obese population, plastic surgeons are consulted by women requesting larger breast reductions, with body mass indices in the obese to morbidly obese range (30 to >or=40 kg/m) and breasts considered gigantomastic (>2000 g resected from each breast). There have been few descriptions of outcomes in the morbidly obese population. Previous literature reports high complication rates in obese women and large-volume breast reductions. Read More

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http://dx.doi.org/10.1097/PRS.0b013e31817d60f4DOI Listing
August 2008
1 Read
2 Citations
2.993 Impact Factor

An innovative three-dimensional approach to defining the anatomical changes occurring after short scar-medial pedicle reduction mammaplasty.

Plast Reconstr Surg 2008 Jun;121(6):1875-85

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

Background: Three-dimensional photography of the breast offers new opportunities to advance the fields of aesthetic and reconstructive breast surgery. The following study investigates the use of three-dimensional imaging to assess changes in breast surface anatomy, volume, tissue distribution, and projection following medial pedicle reduction mammaplasty.

Methods: Preoperative and postoperative three-dimensional scans were obtained from patients undergoing short-scar medial pedicle breast reduction. Read More

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http://dx.doi.org/10.1097/PRS.0b013e31817151dbDOI Listing
June 2008
11 Reads

Thin superior medial pedicle reduction mammaplasty for severe mammary hypertrophy.

Aesthetic Plast Surg 2008 Jul 29;32(4):645-52. Epub 2008 Apr 29.

Hospital das Clínicas, University of São Paulo, Sao Paulo, SP, Brazil.

Background: There are multitudes of procedures in plastic surgery used to correct hypertrophic and pendulous breasts in patients with heavy and ptotic breasts who need great resections of breast tissue, where the suprasternal notch-to-nipple distance is long and the use of nipple-areola transposition techniques is a challenge for the plastic surgeon. The purpose of this study is to present a technique of reduction mammaplasty that could solve these problems based on the following principles: mammary reduction utilizing a thin superior medial pedicle (0.8-1. Read More

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http://dx.doi.org/10.1007/s00266-008-9163-5DOI Listing
July 2008
3 Reads

Seventeen years of experience with reduction mammaplasty avoiding a vertical scar.

Aesthetic Plast Surg 2008 Jul 23;32(4):653-9. Epub 2008 Apr 23.

Plastic and Reconstructive Surgery Department, Selcuk University Meram Medical School, Konya, Turkey.

Background: It is important to reshape the breast with the least scar possible. This has led us to develop a technique for large breasts where the vertical scar was eliminated.

Methods: The new nipple is positioned at 19-21 cm. Read More

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http://dx.doi.org/10.1007/s00266-008-9167-1DOI Listing
July 2008
3 Reads

Safety and aesthetic improvement using the omega pattern reduction mammaplasty after breast conservation surgery and radiation therapy.

Plast Reconstr Surg 2008 Feb;121(2):374-80

Division of Plastic Surgery, University of Missouri, Columbia, Mo. 65212, USA.

Background: With the continued popularity of lumpectomy and radiation therapy for many early-stage breast cancer patients, a considerable number of large-breasted patients are being identified who are unhappy with subsequent asymmetry and cosmetic distortion and symptoms related to their macromastia. Bilateral reduction mammaplasty is the most direct means of achieving size balance, improving cosmesis, and relieving symptoms related to macromastia. However, most plastic surgeons are fearful of reduction of the irradiated breast using traditional pedicle techniques for nipple transfer. Read More

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http://dx.doi.org/10.1097/01.prs.0000298315.40074.16DOI Listing
February 2008
1 Read

Practical guidelines for repair of partial mastectomy defects using the breast reduction technique in patients undergoing breast conservation therapy.

Plast Reconstr Surg 2007 Dec;120(7):1755-68

Department of Plastic and Reconstructive Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.

Background: The authors previously compared the local tissue rearrangement, breast reduction, and latissimus dorsi flap reconstruction techniques for repairing partial mastectomy defects and showed the benefits of breast reduction.

Methods: In this study, the authors focused solely on factors influencing outcome in 41 patients who underwent repair of a partial mastectomy defect using breast reduction.

Results: Tumor location had a significant effect on the design of the parenchymal pedicle (p = 0. Read More

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http://dx.doi.org/10.1097/01.prs.0000287130.77835.f6DOI Listing
December 2007
8 Reads

Periareolar reduction mammoplasty using an inferior dermal pedicle or a central pedicle.

J Plast Reconstr Aesthet Surg 2008 26;61(3):275-81. Epub 2007 Nov 26.

Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Daegu, Republic of Korea.

The goals of reduction mammoplasty are to reduce the volume of a breast, to create an aesthetic shape that is stable over time, to maintain blood supply and innervation to the areolar complex, and to make fine limited scars. The present authors used periareolar reduction mammoplasty using an inferior dermal pedicle or a central pedicle. To minimise the scar, periareolar incision was performed. Read More

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http://dx.doi.org/10.1016/j.bjps.2007.10.024DOI Listing
April 2008
4 Reads

Oncoplastic techniques allow breast-conserving treatment in centrally located breast cancers.

Plast Reconstr Surg 2007 Aug;120(2):390-8

Department of Plastic Surgery, Sisters of Mercy Hospital, Linz, Austria.

Background: Operative techniques for oncoplastic reconstruction combine oncologic extirpation of the tumor with immediate reconstruction of breast shape and symmetry. These techniques are increasingly being used for breast-conservation therapy of centrally located breast carcinomas. The goal of this study was to provide an overview of the various surgical options for oncoplastic treatment of central breast carcinomas. Read More

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http://dx.doi.org/10.1097/01.prs.0000267328.09246.02DOI Listing
August 2007
2 Reads

Reliability of inferior dermoglandular pedicle reduction mammaplasty in reconstruction of partial mastectomy defects: surgical planning and outcome.

Breast 2007 Dec 12;16(6):577-89. Epub 2007 Jun 12.

Division of Plastic Surgery and Breast Surgery Group, University of São Paulo School of Medicine, Rua da Consolação 3605 ap 91 ZIP 01416-001 Sao Paulo, SP, Brazil.

The objective of this study is to describe the surgical planning of the inferior dermoglandular pedicle (IDP) technique and its outcome following partial mastectomy reconstruction. A total of 26 patients with breast cancer underwent immediate IDP reconstruction. IDP was indicated to reconstruct superior/central breast defects. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S096097760700080
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http://dx.doi.org/10.1016/j.breast.2007.04.008DOI Listing
December 2007
5 Reads

Maximizing breast projection with combined free nipple graft reduction mammaplasty and back-folded dermaglandular inferior pedicle.

Breast J 2007 May-Jun;13(3):226-32

Department of Plastic Reconstructive and Aesthetic, Surgery, Ataturk Research and Training Hospital, Izmir, Turkey.

Standard technique for free nipple reduction mammoplasty was described by Thorek in 1922. In contrast to its effectiveness, late postoperative results included insufficient projection of the breast and the nipple-areola region. We describe a modification of this well recognized technique in order to increase central mound projection and improve nipple-areola projection by suturing the dermaglandular flap to the pectoralis major muscle by back-folding the pedicle. Read More

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http://dx.doi.org/10.1111/j.1524-4741.2007.00414.xDOI Listing
July 2007
20 Reads

Immediate reconstruction of the nipple/areola complex in oncoplastic surgery after central quadrantectomy.

Ann Plast Surg 2006 Dec;57(6):611-5

Clinical Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Innsbruck, Austria.

Background: Oncoplastic surgery adds valuable techniques for breast-conservation therapy that allows for wide excisions and prevents breast deformities. However, no such technique has addressed loss of the nipple/areola complex (NAC) after central lumpectomy. We present a simple and effective technique for immediate reconstruction of the NAC after such loss due to tumorectomy. Read More

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http://dx.doi.org/10.1097/01.sap.0000235444.51056.31DOI Listing
December 2006
4 Reads

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

Aesthet Surg J 2006 Nov-Dec;26(6):687-96

Harvard Plastic Surgery Program, Brigham and Women's Hospital and Beth Israel Deaconess Medical Center; Harvard Medical School, Boston, MA, USA.

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 the vertical scar using a low horizontal scar mammaplasty with a broad central-inferior pedicle.

Methods: We retrospectively reviewed the surgical characteristics of 239 patients who underwent mammaplasty using the BMRT technique (n = 145) and compared these with patients undergoing WPR (n = 94). Read More

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http://dx.doi.org/10.1016/j.asj.2006.10.010DOI Listing
June 2009
7 Reads

Therapeutic mammaplasty--analysis of 50 consecutive cases.

Br J Plast Surg 2005 Oct;58(7):902-7

Breast Reconstruction Service, Department of Plastic Surgery, Nottingham City Hospital, UK.

This is a descriptive analysis of 50 consecutive cases of therapeutic mammaplasty, the use of reduction mammaplasty and radiotherapy to treat breast tumours. Breast cancers may lie within the normal excision site of a recognised mammaplasty method (scenario A) or outside of the expected excision sites (scenario B), then requiring a modified mammaplasty. A third group are central tumours requiring removal of the nipple. Read More

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http://dx.doi.org/10.1016/j.bjps.2005.03.007DOI Listing
October 2005
8 Reads

Planning and use of therapeutic mammoplasty--Nottingham approach.

Br J Plast Surg 2005 Oct;58(7):889-901

Breast Reconstruction Service, Department of Plastic Surgery, Nottingham City Hospital, UK.

Therapeutic mammaplasty, the use of reduction mammaplasty and radiotherapy to surgically treat breast cancer, is an established technique for selected breast cancers and can extend the role of breast conserving surgery. Most frequently described is the use of a wise pattern reduction for tumours that lie within the expected mammaplasty excision. However, mammaplasty techniques can be safely adapted to treat patients with cancers in all areas of the breast. Read More

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http://dx.doi.org/10.1016/j.bjps.2005.03.008DOI Listing
October 2005
6 Reads

Ultrasonographic evaluation of the rectus abdominis muscle after breast reconstruction with the DIEP flap.

Ann Plast Surg 2005 May;54(5):483-6

Department of Plastic Surgery, Rikshospitalet University Hospital, N-0027 Oslo, Norway.

The aim of this study was to evaluate whether the dissection of the vascular pedicle of the deep inferior epigastric perforator (DIEP) flap could induce secondary muscle atrophy. Evaluation of the rectus abdominis muscle was performed using ultrasonography, and the muscle thickness was measured as an expression of muscle substance. This was performed at 4 levels: below the xiphoid process, at the umbilicus level, above the symphysis, and between the 2 last mentioned (central zone). Read More

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May 2005
2 Reads

Treatment of multiple bilateral juvenile fibroadenomas in a teenage breast by central pedicle breast reduction, with vertical and short horizontal scar: case report.

Aesthetic Plast Surg 2004 Jul-Aug;28(4):228-30

Department of Plastic and Reconstructive Surgery, Inha University, Incheon, Korea.

An 11-year-old girl presented with extremely large and slightly asymmetric breasts that had developed over a 1-year period. The condition was diagnosed as multiple bilateral juvenile fibroadenomas on the operative field and successfully treated with central pedicle breast reduction using a vertical and short horizontal scar design. Breast function and aesthetic appearance were preserved with no reported recurrence 5 years after surgery. Read More

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http://dx.doi.org/10.1007/s00266-004-0038-0DOI Listing
March 2005
9 Reads

Benefits and pitfalls of vertical scar breast reduction.

Br J Plast Surg 2004 Jan;57(1):12-9

Institute of Hand, Plastic and Reconstructive Surgery, University Hospital, Rämistrasse 100, CH-8091, Zürich, Switzerland.

A quality assurance study was undertaken three years after beginning the vertical scar breast reduction technique. We examined the rate of early and late complications (major and minor) and compared these to the formerly used inverted-T scar and L scar breast reduction techniques. Inverted-T scar breast reductions have an early complication rate of up to 20% and a late complication rate of 20-30%. Read More

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January 2004
6 Reads

Evaluation of nipple-areola complex sensitivity after the latero-central glandular pedicle technique in breast reduction.

Br J Plast Surg 2003 Jun;56(4):360-4

Department of Plastic Surgery, Gent University Hospital, De Pintelaan 185, Gent B-9000, Belgium.

Introduction: Previous anatomical and clinical studies have shown that nipple-areola sensitivity decreased significantly after conventional superior and inferior pedicle technique for 3-6 months postoperatively. We found it necessary to modify our techniques in breast reduction to achieve a better outcome regarding breast sensation. Since 1999, we have been using a new technique of breast reduction with a latero-central glandular pedicle. Read More

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June 2003
9 Reads

The latero-central glandular pedicle technique for breast reduction.

Br J Plast Surg 2003 Jun;56(4):348-59

Department of Plastic and Reconstructive Surgery, University Hospital Gent, De Pintelaan 185, 2K12C, Gent B9000, Belgium.

The relatively high number of complications and disadvantages of the conventional techniques in breast reduction combined with our expertise in restoring sensation in breast reconstructive procedures, led to the development of a new technique that was crystallised from the traditional techniques and is able to overcome most of their disadvantages. The key issue of the technique is that the nipple is vascularised and innervated on a column of glandular tissue that remains in contact in its posterior part with the pectoralis muscle and its perforators and in its lateral aspect to the lateral pillar of breast tissue. Due to the ptosis that develops during the process of hypertrophy, this column will gain sufficient length to be turned upwards into the new position of the nipple. Read More

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June 2003
8 Reads

Free nipple reduction mammaplasty with a horizontal scar in high-risk patients.

Aesthetic Plast Surg 2002 Nov-Dec;26(6):457-60

Women with extremely large and ptotic breasts have many complaints and difficulties during daily life. Conventional reduction mammaplasty techniques are not convenient because the presence of excess tissue beneath and over a long pedicle may cause nipple-areola complex necrosis. These patients mostly have systemic health problems so they benefit from a shorter operative procedure. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs00266-002-00
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http://dx.doi.org/10.1007/s00266-002-0008-8DOI Listing
May 2003
4 Reads

Experience with reduction mammaplasty combined with breast conservation therapy in the treatment of breast cancer.

Plast Reconstr Surg 2003 Mar;111(3):1102-9

Division of Plastic Surgery, Division of General Surgery, Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC 20007, USA.

As the inclusion criteria for breast conservation therapy have continued to evolve to include lower quadrant tumors, very large breasts, and central tumors, the potential for significant disfigurement after breast conservation therapy has also increased. This has led some centers to develop coordinated oncology-plastic surgery approaches to ensure both adequate cancer resection and aesthetic appearance to the breasts. The authors applied this principle to a specific group of breast cancer patients--women with macromastia--who would benefit from reduction mammaplasty. Read More

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http://dx.doi.org/10.1097/01.PRS.0000046491.87997.40DOI Listing
March 2003
4 Reads

The L short-scar mammaplasty.

Authors:
Armando Chiari

Clin Plast Surg 2002 Jul;29(3):401-9, vi

Department of Surgery, Medical School of the Federal University of Minas Gerais, Belo Horizonte, Brazil.

The goal in breast reduction surgery is to reduce volume but at the same time to maintain circulation, sensation and breast feeding potential. A dermoglandular or central pedicle is the most likely to achieve all three. The superior pedicle is reserved mainly for very small reductions or mastopexies, but the author still finds the medial pedicle allows better lateral resection even in small reductions, and the lateral pedicle with recruitment of tissue allows for some "auto-augmentation" in mastopexies. Read More

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July 2002
6 Reads

Areolar vertical approach (AVA) mammaplasty: Lejour's technique evolution.

Clin Plast Surg 2002 Jul;29(3):365-77

Clinica Van Thienen, Buenos Aires, Argentina.

The areolar-vertical approach (AVA) mammaplasty, derived from the Vertical Mammaplasty described by Lejour, offers us the opportunity to achieve good cosmetic results in breast reduction even in larger hypertrophies and makes it available to all patients. In marking, the skin there are certain fixed landmarks, but the final skin design is obtained by dynamic maneuvers (points A, V, and S). They do not follow a rigid pattern. Read More

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July 2002
4 Reads

One hundred and eleven cases of breast conservation treatment with simultaneous reconstruction at the European Institute of Oncology (Milan).

Tumori 2002 Jan-Feb;88(1):41-7

Department of Plastic Surgery, European Institute of Oncology, Milan, Italy.

Aims And Background: Breast conserving treatment (BCT) should provide similar quality of local control as mastectomy and avoid psychological distress due to mutilation. Randomized trials have demonstrated the value of conservative surgery for small tumors. Several publications have indicated the possibility of improving the cosmetic result when quadrantectomy is combined with plastic surgery. Read More

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May 2002
60 Reads

A personal technique: mammaplasty with J scar.

Ann Plast Surg 2002 Feb;48(2):124-30

Plastic Surgery Center, Casa di Cura Quisisana, Rome, Italy.

Mastopexy and reduction mammaplasty techniques have evolved with time, pursuing the aim of an effective and reliable technique that produces a well-shaped breast and reduces the amount of scarring. The authors believe that the L mammaplasty achieves the best results in terms of a short scar and a good, stable shape. They present their technique of a modified L mammaplasty with a resulting scar in the shape of a J, which implies a central breast resection with the nipple-areola complex transposed on a superior pedicle. Read More

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February 2002
3 Reads

Reduction mammaplasty with the "owl" incision and no undermining.

Authors:
Oscar M Ramirez

Plast Reconstr Surg 2002 Feb;109(2):512-22; discussion 523-4

School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Reduction mammaplasty has traditionally been done using the Wise pattern of incision. Because of the box-like effect in breast shape, the lack of projection, and the long scars associated with the inverted T incision, two techniques have emerged as alternatives: the vertical reduction of Lassus/Lejour and the "round block" periareolar technique popularized by Benelli. Each of these techniques has its pros and cons. Read More

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February 2002
3 Reads