Semicircular Horizontal Approach in Breast Reduction: Clinical Experience in 38 Cases
| Autor: | Young Roe, Doo Hyung Lee, Hee Su Shin, Jong Hyun Cha, Sung Gyun Jung, Yong Hae Lee |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Wound dehiscence Mammaplasty medicine.medical_treatment lcsh:Surgery Scars lcsh:RD1-811 medicine.disease Surgery Plastic surgery Hematoma Nipples medicine Inframammary fold Original Article Breast Breast reduction medicine.symptom business Reduction (orthopedic surgery) |
| Zdroj: | Archives of Plastic Surgery, Vol 42, Iss 4, Pp 446-452 (2015) Archives of Plastic Surgery |
| ISSN: | 2234-6171 2234-6163 |
| DOI: | 10.5999/aps.2015.42.4.446 |
| Popis: | Background Various techniques are used for performing breast reduction. Wise-pattern and vertical scar techniques are the most commonly employed approaches. However, a vertical scar in the mid-lower breast is prominent and aesthetically less pleasant. In contrast, a semicircular horizontal approach does not leave a vertical scar in the mid breast and transverse scars can be hidden in the inframammary fold. In this paper, we describe the experiences and results of semicircular horizontal breast reductions performed by a single surgeon. Methods Between September 1996 and October 2013, our senior author used this technique in 38 cases in the US and at our institution. We used a superiorly based semicircular incision, where the upper skin paddle was pulled down to the inframammary fold with the nipple-areola complex pulled through the keyhole. Results The average total reduction per breast was 584 g, ranging from 286 to 794 g. The inferior longitudinal pedicle was used in all the cases. The average reduction of the distance from the sternal notch to the nipple was 13 cm (range, 11-15 cm). The mean decrease in the bra cup size was 1.7 cup sizes (range, a decrease of 1 to 3). We obtained very satisfactory results with a less noticeable scar, no complication such as necrosis of the nipple or the skin flap, wound infection, aseptic necrosis of the breast tissue, or wound dehiscence. One patient had a small hematoma that resolved spontaneously. Conclusions This technique is straightforward and easy to learn, and offers a safe, effective, and predictable way for treating mammary hypertrophy. |
| Databáze: | OpenAIRE |
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