The Free-Nipple Breast-Reduction Technique Performed with Transfer of the Nipple–Areola Complex Over the Superior or Superomedial Pedicles

Autor: Ahmet Cemal Aygit, Karaca Basaran, Funda Akoz Saydam, Idris Ersin, Memet Yazar
Přispěvatelé: Aygit, Ahmet Cemal
Rok vydání: 2014
Předmět:
Zdroj: Aesthetic Plastic Surgery. 38:718-726
ISSN: 1432-5241
0364-216X
DOI: 10.1007/s00266-014-0343-1
Popis: WOS:000339866500014 PubMed: 24902916 Although the free-nipple breast-reduction technique is essentially an amputation, achieving aesthetic results still is important. The authors present their technique for free nipple-areola complex (NAC) transfer over the superomedial or superior pedicle full-thickness flaps in patients for whom a free-nipple technique is inevitable due to certain risk factors. The study included 25 patients who underwent surgery with the aforementioned method for addressing severe gigantomastia. The patients had a mean age of 43 years (range 34-59 years) and a mean body mass index (BMI) of 35.8 kg/m(2) (range 28-42 kg/m(2)). During the operation, the NAC was elevated as a full-thickness skin graft, then transposed to the superior or superomedial pedicles, which had been planned previously. The subsequent stages of the operation thus became a Wise-pattern breast reduction. The mean resection per breast was 1,815 g (range 1,620-2,410 g). Breast projection, shape, and areolar pigmentation were assessed during the follow-up visit. One patient experienced a partial loss of the NAC graft, which healed secondarily, and three patients experienced a patchy hypopigmentation of the NAC. Breast projection and conical structure were observed to be preserved during the follow-up period. The modified free-nipple technique aimed to convert the reduction procedure to a technique similar to pedicle methods, yielding successful results during the early phases. The full-thickness flap constructed in this way provides more fullness and a maximum contribution to projection in patients who will inevitably undergo breast reduction with the free-nipple method. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.spinger.com/00266.
Databáze: OpenAIRE
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