• Home
  • Browse
    • Current Issue
    • By Issue
    • By Author
    • By Subject
    • Author Index
    • Keyword Index
  • Journal Info
    • About Journal
    • Aims and Scope
    • Editorial Board
    • Publication Ethics
    • Peer Review Process
  • Guide for Authors
  • Submit Manuscript
  • Contact Us
 
  • Login
  • Register
Home Articles List Article Information
  • Save Records
  • |
  • Printable Version
  • |
  • Recommend
  • |
  • How to cite Export to
    RIS EndNote BibTeX APA MLA Harvard Vancouver
  • |
  • Share Share
    CiteULike Mendeley Facebook Google LinkedIn Twitter
The Egyptian Journal of Plastic and Reconstructive Surgery
arrow Articles in Press
arrow Current Issue
Journal Archive
Volume Volume 49 (2025)
Volume Volume 48 (2024)
Volume Volume 47 (2023)
Volume Volume 46 (2022)
Volume Volume 45 (2021)
Volume Volume 44 (2020)
Volume Volume 43 (2019)
Volume Volume 42 (2018)
Issue Issue 2
Issue Issue 1
Lahshin, R., Elshahat, A. (2018). Reliability of Modified Owl Technique in Reduction of Huge Breasts of Different Sizes. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 183-191. doi: 10.21608/ejprs.2018.215087
Riham Lahshin; Ahmed Elshahat. "Reliability of Modified Owl Technique in Reduction of Huge Breasts of Different Sizes". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 183-191. doi: 10.21608/ejprs.2018.215087
Lahshin, R., Elshahat, A. (2018). 'Reliability of Modified Owl Technique in Reduction of Huge Breasts of Different Sizes', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 183-191. doi: 10.21608/ejprs.2018.215087
Lahshin, R., Elshahat, A. Reliability of Modified Owl Technique in Reduction of Huge Breasts of Different Sizes. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 183-191. doi: 10.21608/ejprs.2018.215087

Reliability of Modified Owl Technique in Reduction of Huge Breasts of Different Sizes

Article 27, Volume 42, Issue 1, January 2018, Page 183-191  XML PDF (21.49 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2018.215087
View on SCiNiTO View on SCiNiTO
Authors
Riham Lahshin* ; Ahmed Elshahat email orcid
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background: Breast enlargement can range from mild to
moderate to severe enlargement, which is called the gigantomastia.
Different pedicles can be used for transfer of nipple
areola complex to its new position. Owl technique involves
transposition of the nipple areola complex on superior dermoglandular
pedicle which is not suitable for gigantomastia.
Modification in form of transposition of the nipple areola
complex on superior dermal pedicle allowed the use of this
technique in management of gigantomastia.
Patients and Methods: Fifty patients were operated upon
using this technique in the period between June 2015 and
June 2016. Seating Owl-shaped markings of Oscar Ramirez
were used. Follow-up for at least six months showed maintenance
of the results.
Results: Partial affection of areola vascularity occurred
in one patient with previous application of port-a-cath on the
same side chest wall.
Conclusion: This modification gives reliable successful results in reduction of different size huge breasts.
Keywords
Owl technique; Huge breasts
Main Subjects
Aesthetics
References
1- Romrell L.J. and Bland K.I.: Anatomy of the Breast,
Axilla, Chest Wall, and Related Metastatic Sites. In Bland
K.I. and Copeland E.M. (eds.): The Breast; Comprehensive
Management of Benign and Malignant Diseases. Philadelphia;
Saunders Company, 1991.
2- Moore K. and Persaud T.: The Developing Human- Clinically
Oriented Embryology. 6th Ed. Philadelphia: Saunders
Company, 1998.
3- Hunt K.K., Newman L.A., Copeland E.M. and Bland K.I.:
Chapter 17. The Breast. In: Brunicardi F.C., Andersen
190 Vol. 42, No. 1 / Reliability of Modified Owl Technique in Reduction of Huge Breasts
D.K., Billiar T.R., Dunn D.L., Hunter J.G., Matthews
J.B., Pollock R.E., editors. Schwartz’s Principles of
Surgery. 9th Ed. New York: McGraw-Hill, 2010.
4- Sabel M.S.: Surgical Foundations: Essentials of Breast
Surgery. 1st Ed. Philadelphia: Mosby Inc., 2009.
5- Palmar J.H. and Taylor G.I.: The Vascular Territories of
the Anterior Chest Wall. Br. J. Plast. Surg., 39: 287, 1986.
6- Corduff N. and Taylor G.I.: Subglandular Breast Reduction:
The Evolution of a Minimal Scar Approach to Breast
Reduction. Plast. Reconstr. Surg. J., 113: 175, 2004.
7- Ricbourg B.: Applied Anatomy of the Breast: Blood
Supply and Innervation. Ann. Chir. Plast. Esthet., 37 (6):
603, 1992. Quoted from White D.J. and Maxwell G.P.
Breast Reduction. In Guyuron B. (ed.): Plastic Surgery;
Indication, Operation and Outcomes. St. Louis; Mosby,
Inc., p. 2705, 2000.
8- Choa B.C., Yanga J.D., Baikb B.S., et al.: Periareolar
Reduction Mammoplasty Using an Inferior Dermal Pedicle
or a Central Pedicle. J. of Plast, Reconstruct & Aesth.
Surg., 61 (3): 275, 2008.
9- Lassus C.: A Technique for Breast Reduction. Int. Surg.,
53: 69, 1970.
10- Lassus C.: Breast Reduction: Evolution of a Technique.
A Single Scar. Aesth. Plast. Surg., 11: 107, 1987.
11- Lassus C.: Update on Vertical Mammaplasty. Plast. Reconstr.
Surg., 104: 2289, 1999.
12- Lejour M.: Vertical Mammaplasty and Liposuction of the
Breast. Plast. Reconstr. Surg., 94: 100, 1994.
13- Lejour M.: Vertical Mammaplasty: Early Complications
after 250 Personal Consecutive Cases. Plast. Reconstr.
Surg., 104: 764, 1999.
14- Benelli L.: A New Periareolar Mammaplasty: The “Round
block” Technique. Aesthetic Plast. Surg., 14: 93, 1990.
15- Ramirez O.M.: Reduction Mammoplasty with the "Owl"
Incision and No Undermining. Plast. Reconstr. Surg., 109
(2): 512; discussion 523, 2002.
16- Safe I., Elshahat A. and Hussein H.: Restoring Upper Pole
Fullness in Reduction Mammaplasty and Mastopexy.
Egypt, J. Plast. Reconstr. Surg., 31 (1): 57, 2007.
17- Nahai F.: Vertical Reduction. Operative Techniques. Plast.
Reconstr. Surg., 6: 97, 1999.
18- Nahai F.: Superior Pedicle Vertical Scar Mammaplasty:
Surgical Technique. In: Hamdi M., Hammond D.C., Nahai
F. (eds) Vertical Scar mammoplasty. Springer, Berlin,
Heidelberg, Chapter 4: 25, 2005.
19- Gheita A.: Mammoplasty: The “Super Flap” or the Superior
Pedicle Extra Long Flap for Massive Breasts with Marked
Ptosis or Gigantomastia. Aesthetic Plast. Surg., 33 (3):
461, 2009.
20- Colen S.R.: Breast Reduction with the Use of Free Nipple
Graft Technique. Aesthetic Surg. J., 21 (3): 261, 2001.
21- Weiner D.L., Aiache A.E., Silver L., et al.: A Single
Dermal Pedicle for Nipple Transposition in Subcutaneous
Mastectomy, Reduction Mammaplasty, or Mastopexy.
Plast. Reconstr. Surg., 51: 115, 1973.
22- Hall-Findlay E.J.: Pedicles in Vertical Breast Reduction
and Mastopexy. Clin. Plast. Surg., 29: 379, 2002.
Egypt, J. Plast. Reconstr. Surg., January 2018 191
23- Wettstein R., Christofides E., Pittet B., et al.: Superior
Pedicle Breast Reduction for Hypertrophy with Massive
Ptosis. J. Plast. Reconstr. Aesthet. Surg., 64: 500, 2011.
24- Lalardrie J.P. and Jouglard J.P.: Morphologie et anatomie
du sein ‘‘normal’’. In: Chirurgie Plastique du Sein. Masson
et Cie, Paris, pp 19-26, 1974. Quoted from Gheita A &
Moftah A. Breast Ptosis Managed by Mastopexy Using
the Triple Flaps Procedure. Aesth. Plast. Surg., 35: 107,
2011.
25- Bricout N.: Hypertrophy and Ptosis. In: Breast Surgery.
Springer-Verlag, Paris, pp 71-162, 1996.
26- Hall-Findlay E.J.: A Simplified Vertical Reduction Mammoplasty
Shortening the Learning Curve. Plast. Reconstr.
Surg., 104: 748, 1999.
27- Graf R. and Biggs T.M.: In Search of Better Shape in
Mastopexy and Reduction Mammoplasty. Plast. Reconstr.
Surg., 110: 309, 2002.
28- Dufourmentel C. and Mouly R.: Mammoplasty by the
Oblique Method. Ann. Chir. Plast., 6: 45, 1961.
29- Chiummariello S., Angelisanti M., Arleo S., et al.: Evaluation
of the Sensitivity After Reduction Mammoplasty.
Our Experience and Review of the Literature. Ann. Ital
Chir., 84: 385, 2013.
30- Schlenz I., Rigel S., Schemper M., et al.: Alteration of
Nipple and Areola Sensitivity by Reduction Mammaplasty:
A Prospective Comparison of Five Techniques. Plast.
Reconstr. Surg., 115: 743; discussion 752, 2005

Statistics
Article View: 217
PDF Download: 331
Home | Glossary | News | Aims and Scope | Sitemap
Top Top

Journal Management System. Designed by NotionWave.