Boughdadi, N. (2020). Double Purse String Closure Technique for Minimizing Post-Operative Widening of Periareolar Augmentation Mastopexy: A Comparative Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), 375-381. doi: 10.21608/ejprs.2020.68160
Nahed S Boughdadi. "Double Purse String Closure Technique for Minimizing Post-Operative Widening of Periareolar Augmentation Mastopexy: A Comparative Study". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 3, 2020, 375-381. doi: 10.21608/ejprs.2020.68160
Boughdadi, N. (2020). 'Double Purse String Closure Technique for Minimizing Post-Operative Widening of Periareolar Augmentation Mastopexy: A Comparative Study', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), pp. 375-381. doi: 10.21608/ejprs.2020.68160
Boughdadi, N. Double Purse String Closure Technique for Minimizing Post-Operative Widening of Periareolar Augmentation Mastopexy: A Comparative Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 43(3): 375-381. doi: 10.21608/ejprs.2020.68160
Double Purse String Closure Technique for Minimizing Post-Operative Widening of Periareolar Augmentation Mastopexy: A Comparative Study
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Objectives: For management of mild degree breast ptosis periareolar mastopexy had been commonly used. Since Benelli 1990 had confined the scar to the areola in his round-block technique, several authors has adopted this technique. Whether mastopexy had been done with or without augmentation, the problems of breast shape, areolar irregularities,and stretch of the areola had been annoying to both patients and surgeons. These problems also represent a major challenge to this technique. In this paper purse string closure was used in two consecutive different layers one in dermal de-epithelized layer and another in the deep dermis of the skin. The aim is to minimize widening of scars of peri-areolar incision and improve its long term appearance. Patients and Methods: 50 cases underwent mastopexy with breast augmentation. Cases were divided into two groups: Group A: Underwent closure by single purse string layer and Group B: Two consecutive purse string closure. The second concentric row was applied to the deep dermal plane of the normal non de-epthelialized skin similar to the classical purse string closure described previously. Both subjective and objective evaluation were done. Surgery was done by single surgeon and two surgeons not involved in research evaluated the post-operative photos. Follow-up was done at 3, 6 month and at 1 year post-operative. Results: Group B patients showed superior results as regarding breast shape, contour, projection, superior fullness, periareolar scar shape, regularity, areola width and position. These results were followed-up for one year. Conclusion: Decreasing the tension of the periareolar suture by applying double purse string technique in two different planes improved long term results of periareolar scar in order to avoid widening, irregularities and hypertrophic scarring.
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