Almahmoudy, N., Sabri, A., Setta, H. (2023). Lateral Pillar Flap Suspension in Superomedial Pedicle Reduction Mammoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(1), 67-72. doi: 10.21608/ejprs.2023.284366
Niveen F Almahmoudy; Amira H Sabri; Hany S Setta. "Lateral Pillar Flap Suspension in Superomedial Pedicle Reduction Mammoplasty". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 1, 2023, 67-72. doi: 10.21608/ejprs.2023.284366
Almahmoudy, N., Sabri, A., Setta, H. (2023). 'Lateral Pillar Flap Suspension in Superomedial Pedicle Reduction Mammoplasty', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(1), pp. 67-72. doi: 10.21608/ejprs.2023.284366
Almahmoudy, N., Sabri, A., Setta, H. Lateral Pillar Flap Suspension in Superomedial Pedicle Reduction Mammoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(1): 67-72. doi: 10.21608/ejprs.2023.284366
Lateral Pillar Flap Suspension in Superomedial Pedicle Reduction Mammoplasty
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Vertical scar mammaplasty is a surgical approach that successfully unites both theories of diminished scar formation and an aesthetically appealing breast. However, unfavorable results may follow, as decreased upper pole fullness. Many techniques were proposed to overcome this complication. Aim: Proposal of usage of long lateral pillar flap to enhance the aesthetics of the breast. Patients and Methods: This study is a prospective clinical observational study, that was performed at Ain-Shams University Hospitals from December 2018 till June 2020, with an average follow-up time of one year. Eighteen (18) female patients with ptotic breast had reduction mammaplasty by superomedial pedicle technique with usage of long lateral pillar flap to reinforce suspension of superomedial pedicle. Standard photographs were obtained pre and post operative. All participant women had a routine pre and postoperative mammography and Strasser's cosmetic satisfaction score were done. Results: The age of the 18 women included in this study, ranged from (25-50 years), with an average of (34±4.723). Long-term results were satisfactory both objectively and subjectively, with good upper pole fullness with enhancement of the lateral breast crease. Conclusion: The use of lateral pillar flap adds on satisfaction in the breast's final outcome by enhancing the lateral rounded contour and by addition of upper pole fullness.
Abdelaal M. and Aboelatta Y.A.: Dermo-fascial suuspension; better contouring and long-lasting results with reduction mammoplasty. Aesth. Plast. Surg., 39: 78-83 DOI 10.1007/s00266-014-0433-0, 2015. 2- Exner K. and Scheufler O.: Dermal suspension flap in vertical-scar reduction mammaplasty. Plast. Reconstr. Surg., 109: 2289-98, 2002. 3- Graf R., Reis de Araujo L.R., Rippel R., et al.: Reduction mammaplasty and mastopexy using the vertical scar and thoracic wall flap technique. Aesthetic Plast. Surg., 27: 6-12, 2003. 4- Strasser E.: An objective grading system for the evaluation of cosmetic surgical result. Plast. Reconstr. Surg., 104 (7): 2282-2285, 1999. 5- Pusic A.L., Klassen A.F., Scott A.M., Klok J.A., Cordeiro P.G. and Cano S.J.: Development of a new patient-reported outcome measure for breast surgery: The BREAST-Q. Plast. Reconstr. Surg., 124 (2): 345-353, 2009. 6- Marche D. and de Olarte G.: Reduction mammaplasty and correction of ptosis with a short inframammary scar. Plast. Reconstr. Surg., 69 (1): 45-55, 1982. 7- Lejour M.: Vertical mammaplasty: Early complications after 250 personal consecutive cases. Plast. Reconstr. Surg., 104 (3): 764-770, 1999. 8- Pennington D.G.: Improving the results of inferior pedicle breast reduction using pedicle suspension and plication. Aesthet. Plast. Surg., 30 (4): 390-394, 2006. 9- Awad M., Al-Leithy I.M., Abd-Aal M. and Mahmoud N.: Dermofascial suspension of the breast in cases of gigantomastia. Egypt. J. Plast. Reconstr. Surg., 30: 171-180, 2006. 10- Safe I., Elshahat A. and Hussien H.: Egypt, J. Plast. Reconstr. Surg., 31 (1): 57-61, 2007. 11- Goés J.S.: Periareolar mammoplasty. Double skin technique with application of polygalactine or mixed mesh. Plast. Reconstr. Surg., 97 (5): 959-968, 1996. 72 Vol. 47, No. 1 / Lateral Pillar Flap Suspension in Superomedial Pedicle Reduction Mammoplasty 12- Bustos A.R.: Periareolar mammaplasty with silicone supporting lamina. Plast. Reconstr. Surg., 89 (4): 640- 657, 1992. 13- Van Deventer P.V., Graewe F.R. and Würinger E.: Improving the longevity and results of mastopexy and breast reduction procedures. Reconstructing an internal breast support system with biocompatible mesh to replace the supporting function of the ligamentous suspension. Aesth. Plast. Surg., 36: 578-5897, 2012. 14- Lassus C.: A 30-year experience with vertical mammaplasty. Plast. Reconstr. Surg., 97 (2): 373-380, 1996.