151 results match your criteria Breast Reduction Superior Pedicle


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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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
April 2019
22 Reads

"Reduction mammaplasty with superomedial pedicle technique: A literature review and retrospective analysis of 938 consecutive breast reductions".

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

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http://dx.doi.org/10.1016/j.bjps.2018.12.004DOI Listing
March 2019
4 Reads

In Pursuit of Effective Volume Reduction and Enhanced Aesthetics for Treatment of Gigantomastia Using Superior Dermoglandular Pedicle.

Aesthetic Plast Surg 2018 Apr 16;42(2):412-421. Epub 2018 Jan 16.

Department of Plastic Reconstructive and Aesthetic Surgery, Balikesir University, Çagis Yerleskesi, Balıkesir, Turkey.

Background: Gigantomastia is defined as extreme hypertrophy of the female breast. It is a disabling condition that presents unique challenges to plastic surgeons. Initial breast volume is an important factor affecting the success of the reduction. Read More

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http://dx.doi.org/10.1007/s00266-017-1067-9DOI Listing
April 2018
18 Reads

The Goniometer Device: Special Equipment Designed for Symmetric Mammoplasty Planning and Photo-Symmetry Analysis Technique.

Surg Innov 2018 Apr 12;25(2):110-114. Epub 2018 Jan 12.

1 Bulent Ecevit University, Zonguldak, Turkey.

Introduction: Preoperative planning is an essential prerequisite for the success of plastic surgery. In procedures such as breast reduction, freehand drawings may be associated with a number of challenges during the determination of axes vertical and parallel to the surgical site. Furthermore, many procedures involve subjective maneuvers, such as attempts aimed at positioning both nipples on the same line and transferring nipple-areola complexes in a well-matched manner. Read More

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http://dx.doi.org/10.1177/1553350617752238DOI Listing
April 2018
8 Reads

Comparative Outcomes of Inferior Pedicle and Superomedial Pedicle Technique With Wise Pattern Reduction in Gigantomastic Patients.

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

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http://dx.doi.org/10.1097/SAP.0000000000001231DOI Listing
March 2018
57 Reads

Reduction Mammaplasty for Breast Symmetrisation in Implant-Based Reconstructions.

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

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http://dx.doi.org/10.1007/s00266-017-0867-2DOI Listing
August 2017
12 Reads

A Formula for Planning and Predicting Postoperative Mammoplasty Results.

Ann Plast Surg 2017 Jun;78(6S Suppl 5):S343-S346

From the *UAB School of Medicine, Plastic Surgery, †UAB Division of Plastic Surgery/Department of Surgery, Birmingham, AL; ‡University of South Florida Morsani College of Medicine, Tampa, FL; and §University of Alabama School of Health Professions, Birmingham, AL.

Purpose: For women with macromastia, reduction mammoplasty is a safe and effective solution to increasing quality of life through alleviating pain and improving aesthetics. This study developed a way to combine a surgeon's view of breast measurement (volume) with a patient's view of breast measurement (distance between nipple and notch, inframammary fold, or midline) to provide patients with a better understanding of expected surgical outcomes after breast reduction with a medial superior pedicle.

Patient And Methods: An institutional review board approved retrospective chart review was performed on all medial superior pedicle reduction mammoplasties performed by a single surgeon at a university medical center from 2008 to 2016, and a total of 133 patients were identified. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001038DOI Listing
June 2017
10 Reads

Breast reduction: personal technique.

Clin Ter 2016 Nov-Dec;167(6):e167-e170

Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Roma, Italia.

Introduction: Macromastia is a health problem that requires the coordination of surgical and medical specialists. Goals of reduction mammaplasty are to alleviate physical, emotional and psychosocial discomforts and to restore a conical-shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with superior pedicle. Read More

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http://dx.doi.org/10.7417/CT.2016.1963DOI Listing
March 2017
6 Reads

Surgical therapy of breast hypertrophy: a comparison of complications and satisfaction rate in large and small superior pedicle custom-made reduction mammaplasty.

Eur Rev Med Pharmacol Sci 2016 11;20(21):4411-4415

Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Rome, Italy.

Objective: The reduction mammaplasty is indicated for patients with symptomatic breast hypertrophy. Although surgery is considered the gold standard treatment, it is still debated which is the complication rate and whether or not there is an increased complication rate with increased tissue resection per breast. The main objective of this retrospective study was to determine whether the rates of complications are higher in large reductions (≥2000 g per breast) as compared with smaller reductions (≤1999 g per breast) using the superior pedicle custom-made technique. Read More

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November 2016
9 Reads

The "Superior Ledge": a Modification of the Standard Superomedial Pedicle Reduction Mammoplasty to Accentuate Nipple-Areola Complex Projection.

Aesthetic Plast Surg 2016 Oct 9;40(5):733-8. Epub 2016 Aug 9.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Medical Center, 161 Fort Washington Avenue, Room 5-506, New York, NY, 10032, USA.

Background: The superomedial pedicle parenchymal excision pattern for reduction mammaplasty has the benefits of a reproducible breast shape and improved superomedial fullness, but is limited by a susceptibility to nipple retraction. The senior author of this paper has formalized the "superior ledge" modification of the superomedial pedicle technique (SL-SMP) to address these limitations.

Objective: To describe the technical details of the SL-SMP breast reduction technique and to analyze patient outcomes. Read More

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http://dx.doi.org/10.1007/s00266-016-0687-9DOI Listing
October 2016
5 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
6 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

Analysis of Lower Breast Pole Length and Nipple-Areola Complex Position Following Superior Pedicle, Short Horizontal Scar Breast Reduction.

Aesthetic Plast Surg 2016 Oct 29;40(5):690-8. Epub 2016 Jun 29.

Department of Plastic Surgery, Hacettepe University Faculty of Medicine, Sihhiye, 06100, Ankara, Turkey.

Background: Postoperative changes following superior pedicle breast reduction are closely related to the pattern of skin resection. We have observed that the superior pedicle, short horizontal scar breast reduction technique provides a stable breast shape in the long term. We test the validity of our clinical observations through objective analysis of postoperative dimensional changes following superior pedicle, short horizontal scar breast reduction. Read More

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http://dx.doi.org/10.1007/s00266-016-0663-4DOI Listing
October 2016
11 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
18 Reads

Accordion-style pedicle suspension in inferocentral pedicled mammoplasty.

J Plast Surg Hand Surg 2016 Oct 4;50(5):307-14. Epub 2016 May 4.

a Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery , Ondokuz Mayis University , Samsun , Turkey.

Objective: In breast reduction surgery, while the primary objective may appear to be decreasing the breast volume, the ultimate goal is to achieve symmetrical, appealing, and sustainable breast cosmesis. To circumvent late-term ptosis following inferior pedicle mammoplasty, methods such as pedicle suspension to the ribs, support with dermal flaps and grafts, and the use of some alloplastic materials have been proposed. This paper presents a method of folding and fixing the inferocentral pedicle on itself and the underlying pectoral fascia. Read More

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http://dx.doi.org/10.3109/2000656X.2016.1173559DOI Listing
October 2016
11 Reads

Managing Complications in Vertical Mammaplasty.

Clin Plast Surg 2016 Apr 3;43(2):359-63. Epub 2016 Feb 3.

Clinique du Parc Léopold, Rue Froissart 38, 1040 Brussels, Belgium.

In this paper, we describe our experience with the Lejour vertical scar mammaplasty from its description throughout 25 years of practice. Our work aims to focus on reducing vertical scar mammaplasty complications by examining results, studying how to avoid unfavorable consequences, and providing new tips to improve the technique and shorten its learning curve. Complications can be related to patient characteristics and habits, but adhering to a strict surgical protocol is essential to limit other factors. Read More

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http://dx.doi.org/10.1016/j.cps.2015.12.014DOI Listing
April 2016
13 Reads

Vertical Sculpted Pillar Reduction Mammaplasty in 317 Patients: Technique, Complications, and BREAST-Q Outcomes.

Aesthet Surg J 2016 Apr 23;36(4):417-30. Epub 2016 Feb 23.

Dr Derby is a plastic surgeon in private practice in Sarasota, FL. Dr Grotting is a Clinical Professor, Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL; a Clinical Professor, Division of Plastic and Reconstructive Surgery, University of Wisconsin, Madison, WI; and is the CME/MOC Section Editor for Aesthetic Surgery Journal. Dr Redden is the Chair, Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL.

Background: The senior author (JCG) has described the vertical sculpted pillar breast reduction.

Objectives: This manuscript aimed to compare this technique's safety profile to other established techniques via complication rate reporting. Few studies have utilized the BREAST-Q for long-term outcomes reporting in bilateral reduction mammaplasty patients. Read More

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http://dx.doi.org/10.1093/asj/sjv217DOI Listing
April 2016
9 Reads

Four flap suspension technique for prevention of bottoming out after breast reduction.

Ann Surg Treat Res 2016 Jan 29;90(1):10-5. Epub 2015 Dec 29.

Ankara Training and Research Hospital Plastic, Reconstructive and Aesthetic Surgery Clinic, Ankara, Turkey.

Purpose: Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an internal bra effect through combination of inferior pedicle technique with 2 superior and 2 inferior dermal flaps that were raised from each side of the pedicle. Read More

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http://dx.doi.org/10.4174/astr.2016.90.1.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717603PMC
January 2016
2 Reads

A New Reduction Mastopexy Design for Young Women: Snowman Pattern.

World J Plast Surg 2015 Jul;4(2):110-9

Assistant Professor, Department of Plastic, Reconstructive and Aesthetic Surgery, Eskisehir Osmangazi University Medical School, Eskisehir, Turkey.

Background: Many young women are satisfied with their large breasts but suffer from sagging due to heaviness. In this article; we present a novel modification of vertical scar breast reduction based on a special indication.

Methods: From January 2006 to May 2012, twenty five individual patients underwent operation using modified technique with superior pedicle and vertical scar. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537602PMC
July 2015
15 Reads

Long-term changes in nipple-areolar complex position and inferior pole length in superomedial pedicle inverted 't' scar reduction mammaplasty.

Aesthetic Plast Surg 2015 Jun 18;39(3):325-30. Epub 2015 Mar 18.

Department of Plastic, Reconstructive and Aesthetic Surgery, Necmettin Erbakan University Faculty of Medicine, Konya, Turkey.

Background: Proper nipple-areolar complex position in reduction mammoplasty patients is a challenging problem regardless of the preferred technique. Postoperatively, the nipple-areolar complex is often not located at the most projected area of the breast. This retrospective observational study aimed to find the long-term measurements of the nipple-areolar complex position and inferior pole length after inverted T scar-superomedial pedicle reduction mammoplasty. Read More

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http://dx.doi.org/10.1007/s00266-015-0470-3DOI Listing
June 2015
64 Reads

An outcomes analysis of 2142 breast reduction procedures.

Ann Plast Surg 2015 Mar;74(3):289-92

From the *Department of Plastic Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD; †Department of Surgery, University of San Diego, San Diego, CA; and ‡Department of Plastic Surgery, Duke University, Durham, NC.

Background: Breast reduction alleviates macromastia symptoms and facilitates symmetrical breast reconstruction after cancer treatment. We investigated a large series of consecutive breast reductions to study important factors that impact outcomes.

Methods: An institutional review board-approved, retrospective review of all breast reductions from 1999 to 2009 in a single institution was performed using the medical record for demographics, medical history, physical examination, intraoperative data, and postoperative complications. Read More

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http://dx.doi.org/10.1097/SAP.0b013e31829d2261DOI Listing
March 2015
10 Reads

Superior pedicle technique of reduction mammaplasty: a stepwise approach.

Aesthet Surg J 2015 Jan;35(1):94-104

Dr Nadeau is a fellow in the University of Southern California-Marina del Rey Aesthetic Surgery Fellowship Program in Los Angeles. Dr Gould is a resident and Drs Macias and Spring are Clinical Assistant Professors of Surgery in the Division of Plastic and Reconstructive Surgery at the University of Southern California in Los Angeles. Dr Stevens is Clinical Professor of Surgery and Director of the Division of Plastic and Reconstructive Surgery at the University of Southern California and is Director of the University of Southern California-Marina del Rey Aesthetic Surgery Fellowship Program in Los Angeles.

Numerous surgical options for breast reduction have been described, but in the current healthcare environment, efficiency is of the utmost importance. In this Featured Operative Technique, the authors describe an efficient, reproducible, and simple method for minimal to moderate reduction mammaplasty that utilizes a superior pedicle. The surgical maneuvers were developed and conveyed to the senior author (W. Read More

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http://asj.oxfordjournals.org/content/asj/35/1/94.full.pdf
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http://asj.oxfordjournals.org/cgi/doi/10.1093/asj/sju011
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http://dx.doi.org/10.1093/asj/sju011DOI Listing
January 2015
3 Reads

Dermo-Fascial Suspension for Better Contouring and Long Lasting Results in Reduction Mammoplasty.

Aesthetic Plast Surg 2015 Feb 25;39(1):78-83. Epub 2014 Dec 25.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Background: Recent techniques use the superficial fascia system for anchoring the glandular tissue to the chest wall for minimal tension skin repair in contrast to classic dermal suspension.

Objective: To evaluate the use of dermo-fascial flap in suspension of the breast tissue to the chest wall in reduction mammoplasty to achieve better breast shape, projection, and contour.

Patients And Methods: Forty patients who underwent superiomedial reduction mammoplasty were divided into two equal groups. Read More

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http://link.springer.com/10.1007/s00266-014-0433-0
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http://dx.doi.org/10.1007/s00266-014-0433-0DOI Listing
February 2015
3 Reads
1 Citation
1.190 Impact Factor

Superior Pedicle Reduction Mammoplasty Supported with Inferior Pedicle Chest Wall-Based Flap: Refinements to the Technique.

Aesthetic Plast Surg 2015 Feb 6;39(1):69-77. Epub 2014 Dec 6.

Department of Plastic Reconstructive and Aesthetic Surgery, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey,

Breast reduction techniques strive to obtain a final aesthetic breast shape. The most difficult issues to address after breast surgery are providing consistent upper pole fullness and preventing recurrent ptosis. Our surgical approach is a superior pedicle vertical scar breast reduction with an inferior pedicle chest wall-based flap to enhance the projection of the breast. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs00266-014-04
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http://link.springer.com/10.1007/s00266-014-0421-4
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http://dx.doi.org/10.1007/s00266-014-0421-4DOI Listing
February 2015
11 Reads

[Reduction mammaplasty with a superior pedicle - a retrospective 10-year follow-up analysis of 33 patients].

Handchir Mikrochir Plast Chir 2014 Dec 20;46(6):325-9. Epub 2014 Nov 20.

Abteilung für Plastische, Ästhetische und Rekonstruktive Chirurgie, Klinikum Klagenfurt am Wörthersee, Klagenfurt, -Österreich.

Background: Long-term results after reduction mammaplasty with a superior pedicle evaluating the postoperative sensibility, degree of breast ptosis and the patients' satisfaction are rarely found in the literature. This retrospective analysis answers the question whether the resection weight has an influence on the postoperative sensibility of the nipple-areola complex after reduction mammaplasty with a superior pedicle.

Patients And Methods: 33 patients were enrolled in this retrospective study. Read More

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http://dx.doi.org/10.1055/s-0034-1385934DOI Listing
December 2014
7 Reads

Oncoplastic reduction using the vertical scar superior-medial pedicle pattern technique for immediate partial breast reconstruction.

Can J Surg 2014 Aug;57(4):E134-40

The Department of Plastic and Reconstructive Surgery, Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.

Background: Oncoplastic breast reduction in women with medium to large breasts has reportedly benefitted them both oncologically and cosmetically. We present our experience with an oncoplastic breast reduction technique using a vertical scar superior-medial pedicle pattern for immediate partial breast reconstruction.

Methods: All patients with breast tumours who underwent vertical scar superior-medial pedicle reduction pattern oncoplastic surgery at our centre between September 2006 and June 2010 were retrospectively studied. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119127PMC
August 2014
17 Reads

The free-nipple breast-reduction technique performed with transfer of the nipple-areola complex over the superior or superomedial pedicles.

Aesthetic Plast Surg 2014 Aug 6;38(4):718-26. Epub 2014 Jun 6.

Department of Plastic and Reconstructive Surgery, Bagcilar Research and Training Hospital, Oztopuz cad. Camli konak, Ulus-Besiktas-Istanbul, Istanbul, Turkey,

Background: Although the free-nipple breast-reduction technique is essentially an amputation, achieving aesthetic results still is important. The authors present their technique for free nipple-areola complex (NAC) transfer over the superomedial or superior pedicle full-thickness flaps in patients for whom a free-nipple technique is inevitable due to certain risk factors.

Methods: The study included 25 patients who underwent surgery with the aforementioned method for addressing severe gigantomastia. Read More

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http://link.springer.com/content/pdf/10.1007/s00266-014-0343
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http://link.springer.com/10.1007/s00266-014-0343-1
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http://dx.doi.org/10.1007/s00266-014-0343-1DOI Listing
August 2014
13 Reads

[Complications of breast reduction about 715 breasts].

Ann Chir Plast Esthet 2014 Apr 14;59(2):97-102. Epub 2014 Feb 14.

Service de chirurgie plastique, reconstructrice et esthétique et chirurgie de la main, hôpital Pellegrin, centre F.-X.-Michelet, place Amélie-Raba-Léon, 33076 Bordeaux, France.

Background: Breast reduction is one of the most frequent operations in elective plastic surgery. The main objective of this study was to describe complications due to breast reduction, and to determine the risk factors.

Methods: Our comparative retrospective study reviewed the medical files of 715 operated breasts between 2004 and 2009. Read More

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http://dx.doi.org/10.1016/j.anplas.2014.01.003DOI Listing
April 2014
51 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

Current aspects of therapeutic reduction mammaplasty for immediate early breast cancer management: An update.

World J Clin Oncol 2014 Feb;5(1):1-18

Alexandre Mendonça Munhoz, Division of Plastic Surgery, Hospital Sírio, Libanês, São Paulo 01239-040, Brazil.

Breast-conservation surgery (BCS) is established as a safe surgical treatment for most patients with early breast cancer. Recently, advances in oncoplastic techniques are capable of preserving the breast form and quality of life. Although most BCS defects can be managed with primary closure, the aesthetic outcome may be unpredictable. Read More

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http://www.wjgnet.com/2218-4333/full/v5/i1/1.htm
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http://dx.doi.org/10.5306/wjco.v5.i1.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3920176PMC
February 2014
5 Reads

Comparison of the Rubin dermal suspension sutures and total parenchymal reshaping technique with a traditional inverted T-scar reduction mammaplasty technique using a superior pedicle.

Aesthetic Plast Surg 2013 Dec;37(6):1153-60

Unlabelled: Adipose patients, especially after massive weight loss, pose a challenge to the breast surgeon due to the major loss of volume and the inelasticity of the skin. Rubin described a suitable mammaplasty technique for these patients involving dermal suspension sutures and total parenchymal reshaping. With this technique, the tissue of the prominent axillary skin fold typically found in patients with massive weight loss is used to increase the upper pole volume of the breast. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs00266-013-02
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http://link.springer.com/10.1007/s00266-013-0223-0
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http://dx.doi.org/10.1007/s00266-013-0223-0DOI Listing
December 2013
2 Reads

Evaluation of the sensitivity after reduction mammoplasty. Our experience and review of the literature.

Ann Ital Chir 2013 Jul-Aug;84(4):385-8

Aim: The preservation of the sensitivity of the nipple-areola complex after reduction mammoplasty is an important goal of the modern surgery. The aim of this paper is to evaluate the differences in the recovery of sensitivity after reduction mammoplasty using different techniques.

Material Of Study: Using the Semmes-Weinstein monofilament the sensitivity was evaluated in 64 patients undergone to a bilateral reduction mammoplasty: 36 were treated with inferior pedicle technique and 28 with a superior pedicle techniques. Read More

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April 2015
3 Reads

Outcomes analysis of patients undergoing autoaugmentation after breast implant removal.

Plast Reconstr Surg 2013 Aug;132(2):304-15

Plastic and Reconstructive Surgery, Denver Health Medical Center, University of Colorado Health Sciences Center, Denver, CO 80204, USA.

Background: Revision breast surgery following breast augmentation secondary to capsular contracture and implant rupture is not uncommon. Breast autoaugmentation using an inferior pedicle dermoglandular flap following implant removal was used in patients who did not want new implants, and outcomes were analyzed.

Methods: Thirty-nine breasts (38 breasts bilateral, one breast unilateral) in 20 consecutive patients (aged 38 to 66 years) were operated on. Read More

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http://dx.doi.org/10.1097/PRS.0b013e31829e7d9eDOI Listing
August 2013
11 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
13 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

Experience with vertical mammaplasty: advantages and drawbacks of Hall-Findlay's superomedial pedicle technique and improving the results by adding modifications to the technique.

Aesthetic Plast Surg 2012 Dec 6;36(6):1329-33. Epub 2012 Oct 6.

Department of Plastic and Reconstructive Surgery, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey.

Background: Vertical techniques have become a growing area in reduction mammaplasty. Although it has many advantages such as a smaller scar and durable results, some problems still persist. The Hall-Findlay superomedial pedicle technique is one approach to obtain better results but is not without drawbacks. Read More

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http://dx.doi.org/10.1007/s00266-012-9979-xDOI Listing
December 2012
13 Reads

Juvenile fibroadenoma of the breast: Treatment and literature review.

Can J Plast Surg 2011 ;19(3):105-7

McMaster University, Hamilton;

It is uncommon to find palpable breast masses in young patients. Generally, such masses are benign. Juvenile fibroadenoma is the most frequent benign tumour of the breast. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3269333PMC
September 2012
4 Reads

Reduction of the opposite breast in patients with a breast reconstructed with an implant: validity of the inverted "T", superior pedicle technique, with an inferiorly-based dermal adipose flap.

J Plast Surg Hand Surg 2012 Oct 30;46(5):339-43. Epub 2012 Aug 30.

Division of Plastic Surgery, Campus Bio-Medico University, Rome, Italy.

We reviewed 28 cases of breasts reconstructed with implants and reduction mammaplasty on the other side for symmetry, with the aim of assessing the stability and aesthetic result in the reduced breasts five years postoperatively. An inverted "T", superior pedicle technique, with an inferiorly-based dermal adipose flap was used in patients who did not have overstretched Cooper's ligaments. At the 5-year follow-up, the sternal notch-to-nipple and inframammary fold-to-nipple distances were measured and the degree of ptosis was evaluated (Regnault's classification). Read More

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http://dx.doi.org/10.3109/2000656X.2012.713542DOI Listing
October 2012
2 Reads

Inferiorly based parenchymal flap mammaplasty: a safe, reliable, and versatile technique for breast reduction and mastopexy.

Plast Reconstr Surg 2012 Jul;130(1):116e-125e

Department of Plastic Reconstructive Surgery and Burn Unit, Ospedale Niguarda Ca' Granda, Milan, Italy.

Background: Breast reduction and mastopexy are among the most frequent procedures in aesthetic breast surgery. Many approaches have been described, and various types of dermaglandular pedicles for the nipple-areola complex have been used. The authors present a technique suitable for either mastopexy or breast reduction whereby the superior or superomedial pedicle supplying the nipple-areola complex is combined with an inferior dermaglandular flap to restore the upper pole fullness, thereby improving breast shape and projection. Read More

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http://dx.doi.org/10.1097/PRS.0b013e318254b552DOI Listing
July 2012
12 Reads

Breast reduction with the posterosuperior pedicle: a series of 200 consecutive patients.

Folia Med (Plovdiv) 2011 Oct-Dec;53(4):34-41

Department of Burns and Plastic Reconstructive and Aesthetic Surgery, Edouard Herriot Hospital, Lyon, France.

Aim: To present and evaluate the outcomes of the posterosuperior pedicle breast reduction technique.

Patients And Methods: 200 patients were included in the present retrospective study. They were operated on between January 2006 and January 2009. Read More

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July 2012
4 Reads

Does knowledge of the initial technique affect outcomes after repeated breast reduction?

Plast Reconstr Surg 2012 Jan;129(1):11-8

Department of Anesthesiology, University of Ottawa, Mississauga, Ontario, Canada.

Background: This article examines outcomes following repeated breast reduction using vertical scar reduction mammaplasty. The results of performing repeated breast reduction in patients for whom operative records were available for the previous breast reduction were compared with those for whom these records could not be obtained.

Methods: A retrospective review of all patients who underwent repeated breast reduction for recurrent symptomatic mammary hypertrophy, inadequate volume reduction during the primary operation, and significant postoperative breast volume asymmetry was performed. Read More

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http://dx.doi.org/10.1097/PRS.0b013e3182361ecbDOI Listing
January 2012
3 Reads

Increasing age impairs outcomes in breast reduction surgery.

Plast Reconstr Surg 2011 Dec;128(6):1182-7

Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Background: Although multiple breast reduction outcomes studies have been performed, none has specifically identified the impact of advanced age. The authors aimed to study the impact of age on breast reduction outcome.

Methods: Medical records for all patients billed for Current Procedural Terminology code 19318 over the past 10 years (1999 to 2009) at a large academic institution were analyzed under an institutional review board-approved protocol. Read More

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http://dx.doi.org/10.1097/PRS.0b013e318230c467DOI Listing
December 2011
2 Reads

[Macromastia surgical therapy].

Ann Ital Chir 2011 May-Jun;82(3):191-5

Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza" Policlinico Umberto I, Rome, Italy.

Aim: Macromastia is a social health problem that causes high discomfort in the patients. Goals of reduction mammaplasty are to alleviate physical emotional and psychosocial problems and to restore a conical shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with superior pedicle. Read More

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August 2011
5 Reads

[Retrospective study of 184 superior pedicle breast reductions without drainage].

J Gynecol Obstet Biol Reprod (Paris) 2011 Oct 19;40(6):508-13. Epub 2011 Jul 19.

Service de chirurgie plastique, hôpital Roger-Salengro, CHU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.

Background: The safety of non-drainage has already been proven on inferior pedicle breast reduction techniques while other authors said that the superior pedicle breast reduction techniques increase the risk of postoperative drainage. We want to prove that non-drainage of superior pedicle breast reduction techniques is as safe as the non-drainage of inferior pedicle breast reduction techniques.

Methods: We made a retrospective study of 184 superior pedicle breast reductions in the last 5 years at the hospital of Lille. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03682315110017
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http://dx.doi.org/10.1016/j.jgyn.2011.06.009DOI Listing
October 2011
4 Reads

A superior vertical dermal pedicle for the nipple-areola: an alternative for severe breast hypertrophy and ptosis.

Aesthetic Plast Surg 2012 Feb 7;36(1):134-9. Epub 2011 Jul 7.

Background: Nipple-areola nourishment and sensation have been the main concern in reduction mammaplasty for severe breast hypertrophy and ptosis. Free grafting for the nipple-areola can cause flatness and loss of sensation. These complications can be improved by pedicle techniques for the nipple-areola, no matter the pedicle orientation. Read More

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http://link.springer.com/10.1007/s00266-011-9784-y
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http://dx.doi.org/10.1007/s00266-011-9784-yDOI Listing
February 2012
4 Reads

The impact of reduction mammaplasty on breast sensation: an analysis of multiple surgical techniques.

Ann Plast Surg 2012 Feb;68(2):142-9

Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Our prospective clinical trial collected sensory data using a computerized pressure-specified sensory device comparing 4 procedures for reduction mammaplasty. A total of 48 patients were assessed at baseline, 6 weeks (n = 42), 6 months (n = 15), and 1 year (n = 24) postoperatively. The findings of our study showed pressure sensitivity for women <43 years of age improved by pressure-specified sensory device assessment; whereas, outcome data merely indicated return to baseline in pressure sensitivity for women ≥ 43 years of age. Read More

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http://dx.doi.org/10.1097/SAP.0b013e3182126854DOI Listing
February 2012
5 Reads

Use of the oncoplastic reduction pattern technique following removal of a giant breast lipoma.

Ann Plast Surg 2011 Aug;67(2):106-8

Department of Plastic Surgery, Tel Aviv University, Tel Aviv, Israel.

We present a case report of a 59-year-old patient with a giant lipoma of the left breast, extending to the left arm. She sought medical consultation because it had become heavy and caused pronounced breast asymmetry. The lesion was excised by means of an oncoplastic technique using the superior-medial pedicle wise-pattern breast reduction approach. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SAP.0b013e3181f3e3ccDOI Listing
August 2011
6 Reads

Pedicle viability as the determinant factor for conversion to free nipple graft.

Authors:
Aa Al-Shaham

Can J Plast Surg 2010 ;18(1):e1-4

Faculty of Medicine, Baghdad University, Iraq.

Introduction: Women with extremely large breasts have many complaints. Reduction mammaplasty improves shape and relieves physical symptoms and alleviates psychological complaints. Mammaplasty is a an evolving technique; no single method is ideal or suitable for all breasts. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851458PMC
July 2011
5 Reads

Unfavorable outcomes with vertical reduction mammaplasty: part II.

Aesthet Surg J 2011 Jan;31(1):40-6

Oklahoma Center for Orthopedic and Multispecialty Surgery, 8100 South Walker Avenue, Oklahoma City, OK 73139, USA.

Background: Vertical reduction mammaplasty is a procedure that has steadily increased in popularity in the United States. Although numerous techniques exist for performing this operation, the adverse outcomes are similar in nature regardless of the approach. The authors previously evaluated patient satisfaction with vertical reduction mammaplasty in 260 consecutive patients in Part I. Read More

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http://dx.doi.org/10.1177/1090820X10390757DOI Listing
January 2011
2 Reads

Reduction mammaplasty in the adolescent female: the URMC experience.

Int J Surg 2011 10;9(3):229-32. Epub 2010 Dec 10.

Division of Plastic Surgery, University of Rochester Medical Center, Rochester, NY 14642, United States.

Introduction: With the rise in childhood obesity, an increase in the number of patients seeking adolescent breast reduction has been appreciated. This study examines our experience with presenting symptoms, techniques, and both surgical and pathologic outcomes for reduction mammaplasty in the adolescent population.

Methods: Medical records of 76 consecutive patients under 18 years of age who underwent reduction mammaplasty over a 10 year period were identified and reviewed for BMI, symptoms, comorbidities, cancer history, surgical technique, resection weight, pathologic findings, and complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17439191100049
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http://dx.doi.org/10.1016/j.ijsu.2010.12.001DOI Listing
September 2011
3 Reads