Emad, A., Basuoni, A., Ali, M., Abdel Hady, M. (2023). Comparative Study between No Vertical Scar Reduction Mammoplasty and Subcutaneous Mastectomy with Free Nipple and Areola Grafting in Management of Post Bariatric Marked Breast Ptosis. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(4), 267-274. doi: 10.21608/ejprs.2023.319947
Amed Emad; Ahmed Saeed Basuoni; Mahmoud F. S. Ali; Marwa Shehta Abdel Hady. "Comparative Study between No Vertical Scar Reduction Mammoplasty and Subcutaneous Mastectomy with Free Nipple and Areola Grafting in Management of Post Bariatric Marked Breast Ptosis". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 4, 2023, 267-274. doi: 10.21608/ejprs.2023.319947
Emad, A., Basuoni, A., Ali, M., Abdel Hady, M. (2023). 'Comparative Study between No Vertical Scar Reduction Mammoplasty and Subcutaneous Mastectomy with Free Nipple and Areola Grafting in Management of Post Bariatric Marked Breast Ptosis', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(4), pp. 267-274. doi: 10.21608/ejprs.2023.319947
Emad, A., Basuoni, A., Ali, M., Abdel Hady, M. Comparative Study between No Vertical Scar Reduction Mammoplasty and Subcutaneous Mastectomy with Free Nipple and Areola Grafting in Management of Post Bariatric Marked Breast Ptosis. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(4): 267-274. doi: 10.21608/ejprs.2023.319947
Comparative Study between No Vertical Scar Reduction Mammoplasty and Subcutaneous Mastectomy with Free Nipple and Areola Grafting in Management of Post Bariatric Marked Breast Ptosis
1The Departments of Plastic Surgery, Faculty of Medicine, Beni Suef University
2The Department of Radiodiagnosis, Faculty of Medicine, Beni Suef University
3The Department of Plastic Surgery, Faculty of Medici Faculty of Medicine, Beni Suef University
Abstract
Background: Marked breast ptosis in males is considered one of the most challenging problems for plastic surgeons and so many techniques have been used in the last few years trying to give the patients the best esthetic outcomes, our research will help us to determine the proper management for such patients. Objectives: To compare between no vertical scar reduction mammoplasty and subcutaneous mastectomy with free NAC grafting in management of post bariatric marked breast ptosis cases regarding patient satisfaction, objective esthetic outcome. Methods: This is a prospective, comparative, randomized and descriptive study of 30 male patients suffering from postbariatric marked breast ptosis. The patients were divided into two groups; Group A subjected to no vertical scar reduction mammoplasty technique (15 patients). Group B subjected to subcutaneous mastectomy with free NAC grafting technique (15 patients). Both groups were compared for objective esthetic outcome, patient satisfaction and rate complications. Results: Both techniques resulted in a good satisfaction rate through getting red from excess skin and breast tissue. Cases that were managed by no vertical scar technique had little NAC complications but were more liable to contour irregularities and asymmetries, on the other hand better esthetic outcomes but more NAC complications occurred with cases managed by subcutaneous mastectomy with free NAC grafting technique. Conclusion: No vertical scar reduction mammoplasty technique has better results regarding preservation of NAC sensation and color, while subcutaneous mastectomy with free NAC grafting technique provides a better breast contour and little irregularities but carries more risk of NAC complications.
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