163 results match your criteria Breast Reduction Superior Pedicle


Evaluation of Factors Related to Postoperative Complications in Patients Who Underwent Reduction Mammoplasty.

Eur J Breast Health 2021 Apr 31;17(2):157-164. Epub 2021 Mar 31.

Department of Plastic Surgery, University of Health Sciences Turkey, İstanbul Training and Research Hospital, İstanbul, Turkey.

Objective: This study aimed to investigate whether there was an increase in the number of postoperative complications in patients undergoing reduction mammoplasty depending on the technique used (i.e., pedicle type, skin incision pattern), existence of concomitant diseases, and presence of other risk factors. Read More

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How to Approach Secondary Breast Reduction: International Trends and a Systematic Review of the Literature.

Aesthetic Plast Surg 2021 Apr 5. Epub 2021 Apr 5.

Centre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University of Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Background: Secondary breast reduction is complex and poses significant challenges to surgeons. Complication rates exceed those of primary reduction, commonly caused by impaired vascular supply of the nipple-areolar complex (NAC). Literature on the topic is scare and provides contradicting recommendations, especially with regard to pedicle choice in cases with unknown primary reduction technique. Read More

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Superior Pedicle Breast Reduction with Prefiguration of Final Shape: A 10-year Retrospective Study.

Plast Reconstr Surg Glob Open 2020 Dec 2;8(12):e3242. Epub 2020 Dec 2.

Humanitas Clinical and Research Center - IRCCS, 20090 Pieve Emanuele, Milan, Italy.

Breast reduction, also defined as reduction mammaplasty, is one of the most common procedures performed in aesthetic surgery. Multiple techniques have been proposed throughout the years and several classification systems have been adopted according to: type of incision, pedicle blood supply (cutaneous, glandular, dermoglandular), extent of undermining, excision area, simultaneous or separate tissue excision (fat/gland, skin, or both), and combination of the aforementioned. In the present article, we share our 10 years' experience with reduction mammaplasty and we describe our personal technique, a modified superior pedicle breast reduction. Read More

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December 2020

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

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

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

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

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December 2020

The short scar three-block L-wing technique.

J Plast Reconstr Aesthet Surg 2020 Jun 22;73(6):1075-1080. Epub 2020 Jan 22.

Department of Plastic Surgery, Reconstructive and Hand Surgery, Burn Center, Medical Faculty of the RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany; Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, Center of Reconstructive Surgery of Female Gender Characteristics, Luisenhospital Aachen, Teaching Hospital of the RWTH Aachen University, Boxgraben 99, 52064 Aachen, Germany.

Introduction: Numerous techniques have been proposed for the plastic surgical treatment of hypertrophic breasts. Challenges of the procedure include the preservation of vascular supply and sensitivity of the nipple areola complex (NAC), breast feeding, and an esthetically pleasing result.

Objectives: In the present preliminary report, we introduce a new technique called the three-block L-wing reduction mammaplasty that addresses the aforementioned difficulties. Read More

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B-Technique with dermis suspension: A new approach toward reduction mammaplasty combining short-scar with durability of results.

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

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Reduction Mammaplasty in Adolescents: A Comparison of Wise and Vertical Incision Patterns.

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

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December 2019

Sensitivity of the Nipple-Areola Complex in Reduction Mammaplasty Following Periareolar Dermis Section.

Aesthet Surg J 2020 08;40(9):NP491-NP498

Federal University of Pernambuco, Recife, PE, Brazil.

Background: Preservation of the periareolar dermis, after de-epithelization in reduction mammaplasty, may result in reduced nipple-areola complex (NAC) mobility. Consequently, distortion in shape and difficulty correcting the areola position can occur.

Objectives: The aim of this study was to evaluate NAC viability and sensitivity resulting from periareolar dermis section after de-epithelization in patients who underwent reduction mammaplasty surgery. Read More

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Improvement of Superomedial Breast Reduction and Mastopexy with a New "Hammock" Flap.

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

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Supero-Septum Pedicle Mammaplasty: A New Modification for Reduction Mammaplasty.

Aesthet Surg J 2020 09;40(10):1080-1095

Burn Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: Many techniques have been introduced for reduction mammaplasty and are utilized in diverse frequencies 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: The authors sought to introduce the new modified technique of supero-septum pedicle mammaplasty (SSPM) that utilizes both the septum and superior pedicle and is suitable for macromastia and gigantomastia cases. Read More

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September 2020

A prospective comparison of breast sensibility after reduction mammoplasty: Superior versus superomedial pedicle.

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

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December 2019

Breast Reduction: 33 Years Using a Single Central Block.

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

, Fortaleza, Brazil.

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

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December 2019

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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"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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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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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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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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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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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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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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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

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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October 2016

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

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

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

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

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

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February 2017

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

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

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

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

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February 2017

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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October 2016

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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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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October 2016

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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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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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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January 2016