Ayad, H., Sadaka, M. (2020). The Septum-Based Superomedial Pedicle Technique in Reduction Mammoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), 319-324. doi: 10.21608/ejprs.2020.113491
Hashem Mohamed Ayad; Mohamed Saad Sadaka. "The Septum-Based Superomedial Pedicle Technique in Reduction Mammoplasty". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 2, 2020, 319-324. doi: 10.21608/ejprs.2020.113491
Ayad, H., Sadaka, M. (2020). 'The Septum-Based Superomedial Pedicle Technique in Reduction Mammoplasty', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), pp. 319-324. doi: 10.21608/ejprs.2020.113491
Ayad, H., Sadaka, M. The Septum-Based Superomedial Pedicle Technique in Reduction Mammoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(2): 319-324. doi: 10.21608/ejprs.2020.113491
The Septum-Based Superomedial Pedicle Technique in Reduction Mammoplasty
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University
Abstract
Background: In this study, we present our technique of the septum-based superomedial pedicle reduction mammoplasty using an inverted T scar pattern. It is based on the Wuringer's horizontal breast septum, through which run the main neurovascular supply to the nipple-areola complex (NAC). Patients and Methods: The study included 35 cases with bilateral breast hypertrophy. The mean suprasternal notch to nipple (SSN-N) distance in our cases was 39.7±5.6cm. The mean nipple elevation in our cases was 17.9±4.6cm. Our mean resection weight was 764±160 grams per side. We had 6 cases with resection weight exceeding 1500 grams per side. Results: We had no cases of partial or total necrosis of the NAC. Immediate postoperative breast sensation was preserved in 26 cases and was impaired in 9 cases but it was regained spontaneously within 6 months. Conclusion: The septum-based superomedial pedicle technique of reduction mammoplasty is safe technique with improved NAC vascularity and sensation, even in cases of gigantomastia, owing to the preservation of the important neurovascular structures related to the breast septum.
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