Search Our Scientific Publications & Authors

Turk J Med Sci 2020 Mar 31. Epub 2020 Mar 31.

Aim: Symptomatic breast hypertrophy has a significant impact on the quality of life of women. The amount of tissue to be excised may be preoperatively estimated by an experienced surgeon. However, this remains a subjective assessment. Read More

Aesthet Surg J 2020 Mar 16. Epub 2020 Mar 16.

plastic surgeon in private practice in Orange, CT.

Background: Breast reduction for extreme macromastia in obese patients is a potentially high-risk endeavor. Free nipple grafting as well as a variety of pedicled techniques have been advocated for large reductions in large patients but the number of different approaches suggest that no single method is ideal. This paper suggests the Robertson Mammaplasty, an inferior pedicle technique characterized by a curvilinear skin extension onto the pedicle, as a potentially favorable approach to this clinical situation. Read More

J Plast Reconstr Aesthet Surg 2020 May 11;73(5):876-884. Epub 2019 Dec 11.

Department of Obstetrics and Gynecology, Medical University of Vienna, Währinger Gürtel 18-22, 1090 Vienna, Austria.

Background: Dermis suspensions (DM) have been introduced in reduction mammaplasties (RM) to extend the durability of the results and improve the quality of the scar. The authors present a new method of RM that consists of completing the B-method of Regnault with a well-vascularized DM.

Objective: Analyze the efficacy of a reduction mammaplasty technique proposed by the authors. Read More

Aesthetic Plast Surg 2020 Jun 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

Plast Reconstr Surg Glob Open 2019 Dec 31;7(12):e2516. Epub 2019 Dec 31.

Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.

Background: Reduction mammaplasty was shown to ameliorate physical and psychological problems in adolescents suffering from macromastia. However, benefits of the Wise compared to the vertical incision pattern have not yet been established in this population. The aim of this study is to compare the outcomes of these 2 techniques in adolescents undergoing reduction mammaplasty. Read More

J Reconstr Microsurg 2020 Jun 30;36(5):325-338. Epub 2020 Jan 30.

Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Background:  Advancements in three-dimensional (3D) printing have enabled production of patient-specific guides to aid perforator mapping and pedicle dissection during abdominal flap harvest. We present our early experience using this tool to navigate deep inferior epigastric artery (DIEA) topography and evaluate its impact on operative efficiency and clinical outcomes.

Patients And Methods:  Between January 2013 and December 2018, a total of 50 women underwent computed tomographic angiography (CTA)-guided perforator mapping prior to abdominal flap breast reconstruction, with ( = 9) and without ( = 41) 3D-printed vascular modeling (3DVM). Read More

Plast Reconstr Surg Glob Open 2019 Jul 26;7(7):e2309. Epub 2019 Jul 26.

Department of Reconstructive and Hand Surgery, Azienda Ospedali Riuniti, Ancona, Italy.

Oncoplastic breast reduction shares similar aims and principles with esthetic surgery. Superomedial breast reduction provides harmony, symmetry, and satisfactory lower pole projection, but long-term outcomes are not consistently good. We describe our experience with a new hammock-shaped flap, which was combined with superomedial pedicle breast reduction to improve long-term outcomes by enhancing pedicle support and preventing ptosis recurrence. Read More

Aesthet Surg J 2019 Nov 20. Epub 2019 Nov 20.

Plastic and Reconstructive Surgery, Burn Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: Many techniques have been introduced for reduction mammaplasty and are utilized in diverse rates by different surgeons according to patient needs. Each technique is evaluated based on the aesthetic result, longevity, complication rate, and preservation of the nipple-areola complex (NAC) sensation.

Objectives: This study introduces the new modified technique of supero-septum pedicle mammaplasty (SSPM) that makes use of both the septum and superior pedicle and is suitable for macromastia and gigantomastia cases. Read More

J Plast Reconstr Aesthet Surg 2020 Mar 5;73(3):486-493. Epub 2019 Oct 5.

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia; Faculty of Medicine, University of Zagreb, Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital "Dubrava", Zagreb, Croatia.

"Direct to implant," "one-stage," or "immediate" breast reconstruction procedures have become extremely popular in the last decade. The additional task of covering the lower pole of the prosthetic implant for stability can be achieved by one of two principal methods: either the use of acellular dermal matrix (ADM) or alternatively by the use of autologous dermis (inferiorly based dermal flap). In 2013, we published a modification of the inferior pedicle technique for reduction mammaplasty with the principal goal of making a strong, durable, and internalized ``dermal cage'' fixed to the chest wall to support the remaining breast tissue and to prevent the long-term descent of the breast tissue through the effects of gravity. Read More

J Plast Reconstr Aesthet Surg 2019 Dec 1;72(12):1996-2001. Epub 2019 Oct 1.

Service de chirurgie plastique, esthétique et reconstructrice, Hôpital Saint Louis, 1 avenue Claude Vellefaux, 75010 Paris, France; Plastic, aesthetic and reconstructive surgery department, Saint Louis Hospital, 1 avenue Claude Vellefaux, 75010 Paris, France.

Background: Breast sensitivity is a significant issue in preoperative consultation prior to reduction mammoplasty. Although a range of techniques is used, recovery of sensation is usually evaluated using the inferior pedicle. Our objective was to evaluate and compare the change in breast sensitivity using the superomedial versus the superior pedicle. Read More

Plast Reconstr Surg Glob Open 2019 Aug 30;7(8):e2427. Epub 2019 Aug 30.

Borenstein Plastic Surgery Clinic, Tel-Aviv, Israel.

Aesthetic breast reduction is a common plastic surgery procedure with the potential for considerable improvement of the patient's quality of life in addition to its aesthetic value. Many different approaches have been described for breast reduction to improve upon previous techniques in terms of scarring, nipple position, amount of breast tissue excised, shape, and longevity of the results. However, medium size resections in ptotic and wide breasts are difficult to treat using both the most common inferior pedicle wise procedure and the various vertical scar techniques. Read More

Niger J Clin Pract 2019 Sep;22(9):1304-1306

Department of Plastic, Reconstructive and Aesthetic Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.

Macromastia can cause serious psychological problems in women as well as psychosocial problems due to esthetic appearances. For this reason, proper technique in breast reduction surgery yields a dramatic physical and psychological improvement for the patient. Inverted T-scar breast reduction using the inferior pedicle technique is the most commonly used breast reduction method. Read More

Aesthetic Plast Surg 2020 04 26;44(2):435-441. Epub 2019 Aug 26.

Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul Aydin University Medical Park Hospital, Istanbul, Turkey.

Introduction: Whereas body-contouring surgery after massive weight loss in women receives much attention, little attention has been devoted to accentuating the male physique. 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. The authors present their approach to high-grade pseudogynecomastia correction with preservation of the NAC on an inferior dermoglandular pedicle with transverse scar only closure and without any meaningful liposuction. Read More

J Invest Surg 2019 Aug 12:1-7. Epub 2019 Aug 12.

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

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

Gland Surg 2019 Jun;8(3):218-225

Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Background: Therapeutic mammaplasty (TM) is a standard oncoplastic technique utilising aesthetic breast reduction principles to facilitate tumour resection and breast reshaping. Simultaneous contralateral mammaplasties are often performed to maintain symmetry. BCCT. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Mar;33(3):341-344

Department of Aesthetic Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To explore the effectiveness of modified inferior pedicle technique with inverted T pattern for severe breast hypertrophy.

Methods: Between January 2016 and May 2017, 15 patients of severe breast hypertrophy had undergone breast reduction using inferior pedicle technique with inverted T pattern combined with dermal suspension sling technique. The patients were 20 to 49 years old, with an average age of 31. Read More

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

J Plast Reconstr Aesthet Surg 2019 Mar 14;72(3):410-418. Epub 2018 Dec 14.

Department of Plastic Surgery, Cleveland Clinic Florida, Weston, FL, USA.

Background: The superomedial pedicle reduction mammaplasty has been noted in the literature to provide superior aesthetic results and longevity as well as shorter operative times. However, the inferior pedicle continues to be the most commonly utilized technique in the United States. There is a lack of large-volume outcome studies examining how the superomedial pedicle technique compares against more established reduction methods. Read More

Plast Reconstr Surg Glob Open 2018 Jun 19;6(6):e1798. Epub 2018 Jun 19.

Surgical Research, Breast Unit, King Fahd General Hospital, Jeddah, Kingdom of Saudi Arabia.

Background: Significant macromastia is socially and physically debilitating. Reduction mammaplasty in these cases carries significant morbidity.

Methods: Cases of inferior pedicle reduction mammaplasty performed at the breast unit, King Fahd Hospital, Jeddah, Saudi Arabia, over the last 10 years were reviewed. Read More

Plast Reconstr Surg Glob Open 2018 May 14;6(5):e1783. Epub 2018 May 14.

Dr. Michelle Copeland, New York, N.Y.

Background: Limited scar Lejour technique for breast reduction is conventionally used to remove less than 500 g of breast tissue per breast, but is effective for greater macromastia. Plastic surgery residents gain limited experience with this technique, and it is infrequently performed in the United States. To understand technique selection, we surveyed board-certified plastic surgeons and compared outcomes with the Lejour technique in 1 practice to those with other methods. Read More

Plast Surg Int 2018 12;2018:9205805. Epub 2018 Mar 12.

The Plastic Surgery Center, The Institute for Advanced Reconstruction, Egg Harbor Township, NJ, USA.

Purpose: Given the proposed increased risk of nipple-areolar complex (NAC) necrosis, nipple-sparing mastectomy (NSM) is generally not recommended for patients with large or significantly ptotic breasts. NAC preserving strategies in this subgroup include staged or simultaneous NSM and reduction mastopexy. We present a novel approach towards simultaneous NSM and reduction mastopexy in patients with large, ptotic breasts. Read More

Plast Reconstr Surg Glob Open 2018 Feb 15;6(2):e1673. Epub 2018 Feb 15.

Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.

In this presentation of 2 consecutive cases of symptomatic juvenile breast hypertrophy in Ghana, we review the patient presentation, workup, and discuss outcomes following a combined technique of inferior pedicle stump with free nipple graft reduction mammoplasty. Surgical goals for treatment of gigantomastia were 2-fold: to resect adequate tissue to obtain symptomatic relief with improved quality of life, while avoiding a flat, boxy-appearing breast shape. Read More

Eplasty 2018 22;18:e4. Epub 2018 Jan 22.

Division of Plastic and Reconstructive Surgery.

Oncoplastic surgery was developed to allow for large tumor excision and immediate breast reconstruction with the goal of optimal breast shape and symmetry. Although initially used in women who underwent lumpectomy for breast malignancy, these techniques can be useful for cosmetic issues caused by benign breast disease. We describe a modification of an inferior pedicle with Wise-pattern reduction mammoplasty for oncoplastic reconstruction of a giant fibroadenoma. Read More

Aesthetic Plast Surg 2018 Feb 12;42(1):100-111. Epub 2017 Dec 12.

DeWitt-Daughtry Family Department of Surgery, Division of Plastic, Aesthetic and Reconstructive Surgery, Leonard Miller School of Medicine, University of Miami, Clinical Research Building (CRB), 1120 NW 14th Street, Room 410, Miami, FL, 33136, USA.

Background: Reduction mammoplasty is among the most commonly performed plastic surgery procedures. The reduction pedicle is traditionally de-epithelialized. Many practitioners propose that preservation of the subdermal blood supply results in improved circulation for the nipple-areolar complex. Read More

Eplasty 2017 21;17:e33. Epub 2017 Nov 21.

The Ohio State University Department of Plastic Surgery, Columbus, OH.

Since its inception, reduction mammoplasty has matured considerably. Primary evolution in clinical research and practice initially focused on developing techniques to preserve tissue viability; breast parenchyma, skin, and nipple tissue that has expanded to include sensation and erectile function play a large role in the physical intimacy of women. Studies regarding primary innervation to the nipple are few and often contradictory. Read More

Aesthetic Plast Surg 2018 02 26;42(1):47-48. Epub 2017 Oct 26.

Pietà Medical Center, Curitiba, Brazil.

Ann Plast Surg 2018 Mar;80(3):217-222

From the Department of Plastic, Reconstructive and Aesthetic Surgery, Erciyes University, Kayseri, Turkey.

Introduction: Although multiple pedicle and skin excision techniques exist for gigantomastic breast reduction, no consensus exists as to which method is most effective in providing an aesthetically pleasing breast, especially in the long-term period. This study aimed to compare the aesthetic and surgical outcomes between inferior pedicle and superomedial pedicle reductions, which both use Wise pattern skin excision in gigantomastic patients.

Methods: A prospective study was planned, and the number of patients was determined before the beginning of the study. Read More

Acta Biomed 2017 08 23;88(2):156-160. Epub 2017 Aug 23.

Department of Surgical Sciences, Plastic Surgery Division, University of Parma, Parma, Italy Cutaneous, Regenerative, Mininvasive and Plastic Surgery Unit, Parma University Hospital, Italy.

Background And Aim Of The Work: Excessive body weight represents a huge problem affecting a wide part of world population, causing significant physical and psychological consequences. To solve their obesity-related problems, patients should begin a bariatric treatment to lose an adequate percentage of their body mass and therefore, they should be subjected to body contouring surgery. In this article we describe our experience in applying breast remodeling techniques to post-bariatric patients. Read More

Aesthetic Plast Surg 2018 Feb 24;42(1):38-46. Epub 2017 Aug 24.

Department of Physical Medicine and Rehabilitation, Antalya Education and Research Hospital, Antalya, Turkey.

Background: More attention is focused on sensory outcomes following breast reduction operations. We conducted this prospective, non-randomized study to compare two commonly used breast reduction techniques, superomedial pedicle and inferior pedicle, regarding sensation of the nipple-areolar complex.

Methods: We prospectively assigned 60 patients with macromastia into the superomedial pedicle group (SMP group, n = 30) or the inferior pedicle (IP group, n = 30) group. Read More

Handchir Mikrochir Plast Chir 2017 12 1;49(6):390-398. Epub 2017 Aug 1.

Introduction: Reduction mammaplasty in patients with gigantomastia is challenging even to very experienced plastic surgeons. Extremely elongated pedicles impair the vascular supply of the nipple-areola complex. Breast shaping and effective reduction are difficult due to the severely stretched skin envelope. Read More

Aesthetic Plast Surg 2017 Dec 11;41(6):1311-1317. Epub 2017 Jul 11.

Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Adnan Menderes Bulvarı, Fatih/Istanbul, Turkey.

Background: Breast reduction techniques depend on the vascularity of the pedicle. Preserving vascularity of the nipple-areolar complex (NAC) is mandatory for reduction mammoplasties, as the NAC is the most important aesthetic and functional unit of the breast. The inferior pedicle technique is the most common method for breast reduction; however, pedicle length may increase after using this technique and cause problems related to NAC viability in gigantomastic and hypertrophic breasts. Read More

Plast Reconstr Surg 2017 Jun;139(6):1313-1322

Christchurch, New Zealand; and Banff, Alberta, Canada From Christchurch Hospital and Banff Plastic Surgery.

Background: This article examines outcomes following breast re-reduction surgery using a random pattern blood supply to the nipple and vertical scar reduction.

Methods: A retrospective review was conducted of patients who underwent bilateral breast re-reduction surgery performed by a single surgeon over a 12-year period. Patient demographics, surgical technique, and outcomes were analyzed. Read More

Aesthetic Plast Surg 2017 Oct 23;41(5):1024-1030. Epub 2017 May 23.

Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey.

Objective: To compare the perioperative findings of inferior pedicle reduction mammoplasty (IPRM) performed with or without a tourniquet.

Methods: This study was carried out in the plastic and reconstructive surgery department at a tertiary care center on a total of 42 consecutive women scheduled for IPRM. Patients in Group I (n = 21) underwent surgery using a tourniquet, whereas patients in Group II (n = 21) were operated on without a tourniquet. Read More

Plast Reconstr Surg 2017 May;139(5):1074e-1079e

Madison, Wis.; and Houston, Texas From the Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health; and the Department of Plastic and Reconstructive Surgery, The University of Texas M. D. Anderson Cancer Center.

Background: Use of dilute epinephrine tumescent solution in breast reduction surgery has been shown to significantly decrease operative blood loss without increasing perioperative complications. Lidocaine is commonly added to epinephrine to decrease postoperative pain. Evidence supporting this practice, however, is limited, and lidocaine toxicity has been reported. Read More

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

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

Ann Plast Surg 2017 Jun;78(6S Suppl 5):S347-S350

From the *Division of Plastic and Reconstructive Surgery, School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA; and †Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Background: Reduction mammaplasty is one of the most commonly performed plastic surgery operations. For a majority of techniques, the most common long-term complication is pseudoptosis. It has previously been proposed that upper breast suspensory ligaments (SL) are weaker than lower breast SL. Read More

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

Aesthetic Plast Surg 2017 Aug 3;41(4):773-781. Epub 2017 Apr 3.

Department of Plastic and Reconstructive Surgery, Breast Unit, University of Udine, C/o Ospedale "S. Maria Della Misericordia", Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy.

Background: Healthy breast surgery constitutes an important step to achieve symmetry in unilateral implant-based reconstructions. We analysed long-term results of breast symmetry obtained with reduction mammaplasties, and we evaluated whether different glandular pedicles may better preserve long-term stability.

Method: Between 2006 and 2012, 90 patients underwent mastectomy and immediate reconstruction with tissue expanders and simultaneous contralateral reduction mammaplasty. Read More

Ann Plast Surg 2017 Jul;79(1):13-16

From the *Division of Plastic Surgery, Department of Surgery, Medical University of South Carolina, Charleston, SC; and † Division of Plastic Surgery, Department of Surgery, Columbia University Medical Center/Harlem Hospital, New York, NY.

Reduction mammaplasty is a commonly-performed procedure among plastic surgeons. Although several methods exist, the Wise pattern/inferior pedicle (IP) technique is the most widely used. The vertical scar/superomedial pedicle (SP) technique has gained acceptance for its shorter scar and more durable projection results, but some hesitation remains with its use in larger volume reductions. Read More

World J Plast Surg 2017 Jan;6(1):82-87

Public Health and Community Medicine Department, Faculty of Medicine, Assiut University, Egypt.

Background: Surgery for hypertrophied breast represents a challenge for plastic surgeons. The search for a good cosmetic breast has led to the development of many techniques. Objectives for reduction mammoplasty are to achieve elevated, symmetrical breasts, with round shape, good projection, small cicatrices that are not very perceptible, and a lasting result. Read More

Plast Reconstr Surg Glob Open 2017 Feb 21;5(2):e1225. Epub 2017 Feb 21.

Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, Mich.

Breast reduction is one of the most commonly performed plastic surgery procedures, and pedicle deepithelialization remains a time-consuming step of the operation. This is especially true when using an inferior pedicle. We present a novel technique of intradermal infiltration of the breast pedicle with local anesthetic to facilitate efficient, bloodless deepithelialization. Read More

Case Rep Surg 2017 31;2017:3491012. Epub 2017 Jan 31.

Department of Plastic and Reconstructive Surgery, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Malaysia.

Juvenile hypertrophy of the breast (JHB) is a rare and relentless disease affecting women in the peripubertal period. We present a 13-year-old girl with massive bilateral JHB, successfully treated with a breast reduction and free nipple graft technique. A total of 7300 grams of breast tissue had been removed, accounting for 14. Read More

Aesthetic Plast Surg 2017 Feb 28;41(1):1-9. Epub 2016 Dec 28.

Division of Plastic Surgery, Warren Alpert Medical School, Brown University, Rhode Island Hospital, Providence, RI, USA.

Background: Reduction in breasts with well-preserved nipple sensation and a viable nipple-areola complex (NAC) is one of the basic core concepts of reduction mammoplasty. Many techniques have been described with enthusiasm advocating full achievement of the aforementioned goals. The goal of this study is to introduce a novel technique that provides an intact neurovascular source to the nipple-areola complex for reduction in gigantic breasts. Read More

Plast Reconstr Surg 2017 04;139(4):1017e-1018e

Department of Maxillofacial, Plastic, Reconstructive, and Cosmetic Surgery, Nancy University Hospital, Nancy, France Department of Plastic and Reconstructive Surgery, CHU Rouen, Rouen, France Plastic, Reconstructive, and Cosmetic and Burn Surgery Unit, Hôpital Saint Louis, Paris, France Department of Plastic and Reconstructive Surgery, Lapeyronie Hospital, CHU Montpellier, Montpellier, France Department of Plastic and Reconstructive Surgery, Hopital Sud, CHU Rennes, Rennes, France.

Plast Reconstr Surg 2017 04;139(4):1018e

Department of Surgery, Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, Conn.

Breast Cancer (Auckl) 2016 9;10:185-189. Epub 2016 Nov 9.

Multidisciplinary Breast Clinic-Unit of Gynecologic Oncology, Antwerp University Hospital, University of Antwerp, Antwerpen, Belgium.; Department of Obstetrics and Gynecology, Antwerp University Hospital, University of Antwerp, Antwerpen, Belgium.

More high-risk women with breast cancer are identified using genetic testing at a younger age. These young women often opt for prophylactic surgery. Most patients are reluctant for extra donor-site scars besides infections and necrosis. Read More

Indian J Plast Surg 2016 May-Aug;49(2):214-219

Department of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt.

Background: Surgery for hypertrophied breasts represents a challenge for plastic surgeons. The search for a good post-surgical cosmetic breast has led to the development of many techniques. Objectives for reduction mammoplasty are to achieve elevated, symmetrical breasts, a round shape, good projection, small cicatrices that are not very perceptible, and a lasting result. Read More

Plast Reconstr Surg 2016 Nov;138(5):968-975

New York, N.Y.;and New Orleans, La. From the Hansjörg Wyss Department of Plastic Surgery, Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center; the Division of Plastic Surgery, New York Eye, Ear & Throat Hospital; and the Division of Plastic Surgery, Louisiana State University Health Science Center.

Background: The profunda artery perforator flap was first introduced for breast reconstruction in 2010. In this article, the authors analyze the results of all profunda artery perforator flaps performed by their group to date.

Methods: A retrospective review was completed of consecutive profunda artery perforator flaps performed by the senior author (R. Read More

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