Khater, A., El Hadidy, M. (2020). Transverse Scar Breast Reduction Technique with Suspended Dermal Slings for Correction of Severe Breast Ptosis and Macromastia. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(3), 439-444. doi: 10.21608/ejprs.2020.122300
Amr El Husseiny Khater; Mohamed Radwan El Hadidy. "Transverse Scar Breast Reduction Technique with Suspended Dermal Slings for Correction of Severe Breast Ptosis and Macromastia". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 3, 2020, 439-444. doi: 10.21608/ejprs.2020.122300
Khater, A., El Hadidy, M. (2020). 'Transverse Scar Breast Reduction Technique with Suspended Dermal Slings for Correction of Severe Breast Ptosis and Macromastia', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(3), pp. 439-444. doi: 10.21608/ejprs.2020.122300
Khater, A., El Hadidy, M. Transverse Scar Breast Reduction Technique with Suspended Dermal Slings for Correction of Severe Breast Ptosis and Macromastia. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(3): 439-444. doi: 10.21608/ejprs.2020.122300
Transverse Scar Breast Reduction Technique with Suspended Dermal Slings for Correction of Severe Breast Ptosis and Macromastia
The Department of Plastic Surgery, Faculty of Medicine, Mansoura University
Abstract
Introduction: Visible scarring over the breast mound is a disadvantage of the classic inverted-T breast reduction technique. The transverse scar breast reduction (TSBR) technique with suspended dermal slings limits the scar formation to the hidden inframammary crease. Patients and Methods: Sixteen female were included in this study. We used the TSBR technique with suspended dermal slings for correction of severe breast enlargement and breast ptosis. Early postoperative complications were recorded. After 2 years, patients’ satisfaction about the surgery was analyzed. Results: All cases showed complete wound healing within two weeks except one case who showed partial ischemia of the nipple areola complex, which was managed successfully by dressing changes. Regarding late complications, two cases showed fat necrosis. However, overall patients’ satisfaction was high. Discussion: Many surgeons use the technique of wise pattern inferior pedicle breast reduction for correction of huge breasts with severe ptosis. Vertical scar breast reduction technique is not best indicated for correction of such condition. Transverse scar breast reduction limited the scars of the surgery to the hidden inframammary fold and achieved stable and accepted results. Conclusion: Transverse scar breast reduction with suspended dermal slings corrected huge breast enlargement and sever breast ptosis with a concealed scar restricted to the inframammary crease. Patients’ satisfaction about the outcome of surgery was high after 2 years of follow-up.
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