Elkafrawy, H., Zidan, A., Farouk, A. (2020). Optimizing the Aesthetic Result and Safety of Inferior Pedicle Reduction Mammaplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), 527-532. doi: 10.21608/ejprs.2020.68213
Hossam Y Elkafrawy; Ahmed Zidan; Adham Farouk. "Optimizing the Aesthetic Result and Safety of Inferior Pedicle Reduction Mammaplasty". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 3, 2020, 527-532. doi: 10.21608/ejprs.2020.68213
Elkafrawy, H., Zidan, A., Farouk, A. (2020). 'Optimizing the Aesthetic Result and Safety of Inferior Pedicle Reduction Mammaplasty', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), pp. 527-532. doi: 10.21608/ejprs.2020.68213
Elkafrawy, H., Zidan, A., Farouk, A. Optimizing the Aesthetic Result and Safety of Inferior Pedicle Reduction Mammaplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 43(3): 527-532. doi: 10.21608/ejprs.2020.68213
Optimizing the Aesthetic Result and Safety of Inferior Pedicle Reduction Mammaplasty
The Department of General Surgery, Plastic Surgery Unit, Faculty of Medicine, Alexandria University , Egypt
Abstract
Background: The inferior pedicle Wise pattern breast reduction is one of the most popular techniques used. However, some criticism and disadvantages of the technique needs to be revised and modified to reach better results. Patients and Methods: This is a prospective randomized study that included 30 female patients suffering from breast hypertrophy and they are candidate for the proposed technique. They under go breast reduction procedure with modified inverted T/inferior pedicle technique. Results: This study includes 30 female patients of an age ranged between 24-53 years old and a breast size (suprasternal notch to nipple distance) ranging from 30 to 43cm. The weight of removed tissues during surgery in our study was ranging from 650 to 1980 grams. The follow-up for 1-year postoperative shows patient satisfaction reaching 70%. Conclusion: Modification and refining the inverted T/inferior pedicle technique could give us a better aesthetic and functional results with minimization of the problems associated with this technique.
1- Regnault P.: Breast ptosis. Definition and treatment. Clin. Plast. Surg., 3 (2): 193-201, 1976. 2- Ppitanguy I.: Surgical treatment of breast hypertrophy. Br. J. Plast. Surg., 20 (1): 78-85, 1967. 3- Shakesppeare V. and Popostle K.: A qualitative study of patients’ views on the effects of breast-reduction surgery: A 2-year follow-up survey. Br. J. Plast. Surg., 52 (3): 198- 204, 1999. 4- Blomqvist L., Eriksson A. and Brandberg Y.: Reduction mammaplasty provides long-term improvement in health status and quality of life. Plast. Reconstr. Surg., 106 (5): 991-997, 2000. 5- Hamdi M., Greuse M., Nemec E., Deprez C. and DeMey A.: Breast sensation after superior pepdicle versus inferior pedicle mammaplasty: Anatomical and histological evaluation. Br. J. Plast. Surg., 54 (1): 43-46, 2001. 6- Marshall D.R., Callan P.P. and Nicholson W.: Breastfeeding after reduction mammaplasty. Br. J. Plast. Surg., 47 (3): 167-169, 1994. 7- Brzozowski D., Niessen M., Evans B. and Hurst L.N.: Breastfeeding after inferior pedicle reduction mammaplasty. Plast. Rec. Surg., 105 (2): 530-534, 2000. 8- McKissock P.K.: Reduction mammaplasty with a vertical dermal flap. Plast. Reconstr. Surg., 49 (3): 245-252, 1972. 9- Robbins T.H.: A reduction mammaplasty with areolarnipple based on an inferior dermal pedicle. Plast. Reconstr. Surg., 59 (1): 64-67, 1977. 10- Nahai F.: The art of aesthetic surgery: Principles and techniques, Quality Medical Publishing, Inc., p. 1799, 2005. 11- Mugea T.T.: Rules in breast aesthetic surgery. The 4th international congress of romainan aesthetic surgery society, Bucharest, Romania, October 3-5th, 2002. 12- Faria F.S., Guthrie E., Bradbury E. and Brian A.N.: Psychosocial outcome and patient satisfaction following breast reduction surgery. Br. J. Plast. Surg., 52 (6): 448- 452, 1999. 13- Nakajima H., Imanishi N. and Aiso S.: Arterial anatomy of the nipple-areola complex. Plast. Reconstr. Surg., 96 (4): 439-450, 1995. 14- Sarhadi N.S., Shaw Dunn J., Lee F.D. and Soutar D.S.: An anaatomical study of the nerve supply of the breast, including the nipple and areola. Br. J. Plast. Surg., 49 (3): 156-164, 1996. 15- Wuringer E., Mader N., Posch E. and Holle J.: Nerve and 532 Vol. 43, No. 3 / Optimizing the Aesthetic Result & Safety of Inferior Pedicle vessel supplying ligamentous suspension of the mammary gland. Plast. Reconstr. Surg., 101 (6): 1486-1493, 1998. 16- Wise R.J.: A preliminary report on a method of planning the mammaplasty. Plast. Reconstr. Surg., 17: 367, 1956. 17- Godwin Y., Wood S.H. and O’Neil T.J.: A comparison of the patient and surgeon opinion on the long-term aesthetic outcome of reduction mammaplasty. Br. J. Plast. Surg., 51 (6): 444-44914, 1998. 18- Mizgala C.L. and MacKenzie K.M.: Breast reduction outcome study. Ann. Plast. Surg., 44 (2): 125-13315, 2000. 19- Celebiler O., Sonmez A., Erdim M., Yaman M. and Numanoglu A.: Patients’ and surgeons’ perspectives on the scar components after inferior pedicle breast reduction surgery. Plast. Reconstr. Surg., 116 (2): 459-464, 2005. 20- Würinger E. and Tschabitscher M.: New aspects of the topography of the mammary gland regarding its neurovascular supply along a regular ligamentous suspension. Eur. J. Morphol., 40 (3): 181-9, 2003. 21- Würinger E.: Vertical scar mammaplasty with the inferocentral pedicle. In: Hamdi M., Hammond D.C., Nahai F., editors. Vertical scar mammaplasty. Berlin: Springer, 2005.
View on SCiNiTO
Top