Al Mahmoudy, N., Reyad, K. (2019). Optimizing the Aesthetic Outcome of Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), 307-312. doi: 10.21608/ejprs.2019.65101
Nivee F Al Mahmoudy; Khaled A Reyad. "Optimizing the Aesthetic Outcome of Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 2, 2019, 307-312. doi: 10.21608/ejprs.2019.65101
Al Mahmoudy, N., Reyad, K. (2019). 'Optimizing the Aesthetic Outcome of Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), pp. 307-312. doi: 10.21608/ejprs.2019.65101
Al Mahmoudy, N., Reyad, K. Optimizing the Aesthetic Outcome of Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(2): 307-312. doi: 10.21608/ejprs.2019.65101
Optimizing the Aesthetic Outcome of Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Egypt
Abstract
The inferior pedicle is still the most common pedicle used for breast reduction using both inverted T and vertical closure, however many unfavorable results may follow as bottoming out and decreased upper pole fullness. Many techniques were done to overcome the drawbacks of the inferior pedicle technique. Patients and Methods: 10 patients complain of huge ptotic breast had inferior pedicle technique with full release of pedicle from skin with glandular brassiere support in form of lower pillars on both sides with vertical skin closure. Results: Satisfactory long term results both objectively and subjectively, with good upper pole fullness and without bottoming out and only with vertical scar. Conclusion: This technique combined both the merits of the inferior pedicle reliability and better aesthetic results.
1- Modified Vertical Reduction Mammaplasty: Ten years of experience: Augusta Cardoso & João Martins & Gustavo Coelho & Rui Barbosa & Horácio Costa, Received: 14 July 2013/Accepted: 31 December 2013/Published online: 15 February 2014 Eur. J. Plast. Surg., 37: 215-26, 2014. 2- Bozola A.R.: Breast reduction with short L scar. Plast. Reconstr. Surg., 85 (5): 728-38, 1990. 3- Ribeiro L. and Backer E.: Mastoplastia com pediculo de seguridad. Rev. Esp. Cir. Plast., 16: 223, 1973. 4- Marchac D. and De Olarte G.: Reduction mammoplasty and correction of ptosis with a short inframammary scar. Plast. Reconstr. Surg., 69: 45, 1982. 5- De Benito J. and Sanza I.F.: Periareolar techniques for mammary reduction and elevation. Aesthetic Plast. Surg., 17: 97-100, 1993. 6- Becker H.: Subareolar mastopexy: Update. Aesthet. Surg. J., 23 (5): 357-62, Saint Louis, 2003. 7- Orlando J.C.: The superomedial dermal pedicle for nipple transposition. Br. J. Plast. Surg., 28: 42-5, 1975. 8- Zic R., Vlajcic Z., Dewing D., et al.: The ''dermal cage'': A modification of the inferior pedicle breast reduction. Aesthetic Plast. Surg., 37: 364-71, 2013. 312 Vol. 43, No. 2 / Aesthetic Outcome of Periareolar Inferior Pedicle Reduction Mammaplasty 9- Ribeiro L.: A new technique for reduction mammaplasty. Plast. Reconstr. Surg., 55: 330-4, 1975. 10- Johnson G.W.: Central core reduction mammoplasties and Marlex suspension of the breast tissue. Aesthet. Plast. Surg., 5: 77-84, 1981. 11- Goés J.C., Landecker A., Lyra E.C., Goés R.S. and Godoy P.M.: The application of mesh support in periareolar breast surgery: Clinical and mammographic evaluation. Aesthet. Plast. Surg., 28: 268-74, 2004. 12- Hinderer U.T.: Mammaplasty: The dermal brassiere technique. Aesthet. Plast. Surg., 2: 1-20, 1978. 13- Alvo Z.: Mammaplasty for mild and/or ptotic breast through short incision at the inframammary sulcus: A personal approach. Aesthet. Plast. Surg., 21: 352-5, 1997. 14- Lockwood T.: Reduction mammaplasty and mastopexy with superficial fascial system suspension. Ann. Plast. Surg., 103: 1411-20, 1999. 15- Hammond D.C.: Short scar periareolar inferior pedicle reduction (SPAIR) mammaplasty. Plast. Reconstr. Surg., 103: 890-901, 1999. 16- Strasser E.: An objective grading system for the evaluation of Cosmetic Surgical Result Plast. Reconstr. Surg., 104 (7): 2282-5, 1999. 17- Thorne C.H., Bartlett S.P., Beasley R.W., Aston S.J. and Gurtner G.C.: Grabb and Smith's plastic surgery, 6th edn, Lippincott Williams & Wilkins, 2007. 18- Nakajima H., Imanishi N. and Aiso S.: Arterial anatomy of the nipple-areola complex. Plast. Reconstr. Surg., 96: 843-5, 1995. 19- Awad M., Magdi M., Sadek E.Y., Helal H. and Abdel Hamid W.A.: New Septum in the Female Breast Arch. Plast. Surg., 44: 101-8, 2017. 20- Corduff N., Rozen W.M. and Taylor G.I.: The superfic ialvenous drainage of the breast: A clinical study and implications for breast reduction surgery, J. Plast. Reconstr. Aesthet. Surg., 63: 809-13, 2010. 21- Climo M.S. and Alexander J.E.: Intercostal circulation: Nipple survival in reduction mammaplasty in the absence of a dermal pedicle. Ann. Plast. Surg., 4: 128-32, 1980. 22- Elmelegy N.G., Sadaka M.S., Hegazy A.M. and Abdeldaim D.E.: Treatment of Gigantomastia using a medial-lateral bipedicle reduction mammoplasty: The role of Dopplerassisted pre-operative perforator identification Aesth. Plast. Surg., 42: 73-9, 2018. 23- The Dermal Suspension Sling: Shaping the Inferior Pedicle during Breast Reduction: Anthony Echo - Gerardo Guerra - Eser Yuksel, Aesth. Plast. Surg., 35: 608-16, 2011. 24- Aydin H., Tumerdem B., Onel D. and Cerci-Ozkan A.: Reduction mammaplasty using inferior pedicle technique combined with dermal suspension. Plast. Reconstr. Surg., 111: 1362-3, 2003. 25- Baumeister R.G.: Curtain type combined pedicle reduction mammoplasty with internal suspension for extensive hypertrophic and ptotic breasts. Br. J. Plast. Surg., 56: 114-9, 2003. 26- Perez-Macias J.M.: Personal mastopexy technique for breast stabilization: Update. Br. J. Plast. Surg., 57 (2): 178, 2004. 27- Johnson G.W.: Central core reduction mammoplasties and Marlex suspension of the breast tissue. Aesthet. Plast. Surg., 5: 77-84, 1981. 28- Goés J.C., Landecker A., Lyra E.C., Goés R.S. and Godoy P.M.: The application of mesh support in periareolar breast surgery: Clinical and mammographic evaluation. Aesthet. Plast. Surg., 28: 268-74, 2004
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