Research Article
Year 2019,
Volume: 41 Issue: 3, 611 - 619, 30.09.2019
Abstract
References
- 1. Rahman GA, Adigun IA, Yusuf IF. Macromastia: a review of presentation and management. Niger Postgrad Med J 2010; 17: 45-9.
- 2. Pérez‐Panzano E, Güemes‐Sánchez A, Gascón‐Catalán A. Quality of Life Following Symptomatic Macromastia Surgery: Short‐and Long‐term Evaluation. Breast J 2016; 22: 397-406.
- 3. Rogliani M, Gentile P, Labardi L, Donfrancesco A, Cervelli V. Improvement of physical and psychological symptoms after breast reduction. J Plast Reconstr Aesthet Surg 2009; 62: 1647-9.
- 4. Wong C, Vucovich M, Rohrich R. Mastopexy and reduction mammoplasty pedicles and skin resection patterns. Plast Reconstr Surg Glob Open 2014; 2: e202.
- 5. Moschella F, Cordova A, Toia F. Gigantomastia. In: Scuderi N, Toth B (eds). International Textbook of Aesthetic Surgery, first edn. Berlin: Springer, 2016; 239-45.
- 6. Makboul M, Abdelhamid MS, Al-Attar GS. Long-term follow-up and patient satisfaction after reduction mammoplasty: Superomedial versus inferior pedicle. Indian J Plast Surg 2016; 49: 214-9.
- 7. Sezgin B, Fındıkçıoğlu K, Sibar S, Barut İ, Ayhan S, et al. Geçmişten günümüze klinikte meme küçültme: geriye dönük kesitsel bir bakış. Turk J Plast Surg 2012; 20: 19-22.
- 8. Lacerna M, Spears J, Mitra A, Medina C, McCampbell E, et al. Avoiding free nipple grafts during reduction mammaplasty in patients with gigantomastia. Ann Plast Surg 2005; 55: 21-4.
- 9. Pennington DG. Improving the results of inferior pedicle breast reduction using pedicle suspension and plication. Aesthetic Plast Surg 2006; 30: 390-4.
- 10. Zic R, Vlajcic Z, Dewing D, Zambelli M, Stanec Z. The “dermal cage”: a modification of the inferior pedicle breast reduction. Aesthetic Plast Surg 2013; 37: 364-71.
- 11. Cruz NI, Korchin L. Lactational performance after breast reduction with different pedicles. Plast Reconstr Surg 2007; 120: 35-40.
- 12. Echo A, Guerra G, Yuksel E. The dermal suspension sling: shaping the inferior pedicle during breast reduction. Aesthetic Plast Surg 2011; 35: 608-16.
- 13. Brown RH, Izaddoost S, Bullocks JM. Preventing the “bottoming out” and “star-gazing” phenomena in inferior pedicle breast reduction with an acellular dermal matrix internal brassiere. Aesthetic Plast Surg 2010; 34: 760-7.
- 14. Romano JJ, Francel TJ, Hoopes JE. Free nipple graft reduction mammoplasty. Ann Plast Surg 1992; 28: 271-6.
- 15. Hansen JE. Avoiding the unfavorable outcome with wise pattern breast reduction. Clin Plast Surg 2016; 43: 349-58.
- 16. Waltho DA, Kaur M, Farrokhyar F, Banfield LE, Thoma A. Inverted T versus vertical scar incision technique for women undergoing breast reduction surgery. Cochrane Database Syst Rev 2016, Issue 2. Art. No.: CD012094. DOI: 10.1002/14651858.CD012094.
- 17. Özyazgan İ, Eskitaşçıoğlu T, Baykan H, Günay GK. İnferior Piramidal Pediküllü Glandüler Flep İle Meme Küçültme Ameliyatında "Anahtar Deliği" Kalıbının Kullanımına Yeni Bir Yaklaşım. Turk J Plast Surg 2005; 13: 84-8.
- 18. Sumpter K, Gershenbaum S, Cartwright MJ. Bifurcated Inferior Pedicle with a Bucket-Handle Pectoralis Flap to Enhance Superior Pole Fullness in Breast-Reduction Surgery. Am J Cosm Surg 2003; 20: 35-8.
- 19. Lockwood T. Reduction mammaplasty and mastopexy with superficial fascial system suspension. Plast Reconstr Surg 1999; 103: 1411-20.
- 20. Temel M, Karakaş AO, Dokuyucu R, Türkmen A. ‘‘The dermal internal brassiere flap,’’ a new modification of inferior pedicle breast reduction technic. Aesthetic Plast Surg 2015; 39: 350-8.
- 21. Hinderer UT. Mammaplasty: The dermal brassière technique. Aesthetic Plast Surg 1978; 2: 1-20.
- 22. Kankaya Y, Oruç M, Sungur N, Gürsoy K, Özer K, et al. Four flap suspension technique for prevention of bottoming out after breast reduction. Ann Surg Treat Res 2016; 90:10-5.
- 23. Brown RH, Izaddoost S, Bullocks JM. Preventing the "bottoming out" and stargazing" phenomena in inferior pedicle breast reduction with an acellular dermal matrix internal brassiere. Aesthetic Plast Surg 2010; 34: 760-7.
- 24. Mutlu OO, Colak O, Atay M. Abdominal Wall Hernias and Their Repair with Inverse Abdominoplasty. In: Tiryaki T (ed). Inverse Abdominoplasty, first edn. Berlin: Springer, 2017; 157-73.
- 25. Simsek T, Engin MS, Abdullayev A, Kucuker I, Demir A, et al. Accordion-style pedicle suspension in inferocentral pedicled mammoplasty. J Plast Surg Hand Surg 2016; 50: 307-14.
- 26. Iwuagwu OC, Drew PJ. Deskinning versus deepithelialization for inferior pedicle reduction mammoplasty: a prospective comparative analysis. Aesthetic Plast Surg 2005; 29: 202-4.
- 27. Aydin H, Uluğ BT AÇ. Reduction Mammaplasty Using Inferior Pedicle Technique Combined with Dermal Suspension. In: Shiffman MA (ed). Mastopexy and Breast Reduction, first edn. Berlin: Springer, 2009; 429-33.
Our experiences regarding combined use of pedicle plication and dermal flap suspension in inferior pedicle inverted-T scar reduction mammaplasty
Abstract
Objective: To present clinical outcomes and experiences regarding
combined use of plication and dermal flap suspension of inferior pedicle in
inverted-T scar reduction mammaplasty.
Method: One hundred and twenty-one cases with bilateral macromastia
were operated by using the present technique between March 2008 and November
2017. The cases were reviewed retrospectively regarding demographics,
preoperative findings, and postoperative outcomes. Of the 121 cases, 22 were
excluded from the study analysis.
Results: The mean age of the cases was 39.77 years. The mean preoperative diameter of NAC and
the mean preoperative distances of midclavicle-to-nipple, nipple-to-IMF and IMF
were 6.54, 33.48, 15.98 and 25.09 cm, respectively. The mean weight of excised tissue
per case was 2033.32 g. There were three cases with
unilateral T-junction dehiscence and two cases with unilateral T-junction
necrosis. Furthermore, one case presented with bilateral, and two cases presented with unilateral superficial
partial necrosis of NAC. At long-term, six cases had a slight asymmetry, two
had bilateral pseudoptosis, and three had bilateral hypertrophic scarring among
the transverse incision of the inverted-T scar. One case underwent bilateral
excision of lateral dog ears and one underwent surgery
due to unilateral fat necrosis at postoperative 3rd month. Two cases
presented with unilateral loss of NAC sensation. The overall satisfaction with
the operation was high.
Conclusions: The
outcomes of this study led us to conclude that the combined use of pedicle
plication and dermal flap suspension improves the shape and position
controllability of the inferior pedicle, produces a projectile and stabilized
breast mound, aids in achieving satisfactory long-term cosmetic outcomes, and
prevents breast deformities. Extended operative time can be considered as a
disadvantage of the technique.
References
- 1. Rahman GA, Adigun IA, Yusuf IF. Macromastia: a review of presentation and management. Niger Postgrad Med J 2010; 17: 45-9.
- 2. Pérez‐Panzano E, Güemes‐Sánchez A, Gascón‐Catalán A. Quality of Life Following Symptomatic Macromastia Surgery: Short‐and Long‐term Evaluation. Breast J 2016; 22: 397-406.
- 3. Rogliani M, Gentile P, Labardi L, Donfrancesco A, Cervelli V. Improvement of physical and psychological symptoms after breast reduction. J Plast Reconstr Aesthet Surg 2009; 62: 1647-9.
- 4. Wong C, Vucovich M, Rohrich R. Mastopexy and reduction mammoplasty pedicles and skin resection patterns. Plast Reconstr Surg Glob Open 2014; 2: e202.
- 5. Moschella F, Cordova A, Toia F. Gigantomastia. In: Scuderi N, Toth B (eds). International Textbook of Aesthetic Surgery, first edn. Berlin: Springer, 2016; 239-45.
- 6. Makboul M, Abdelhamid MS, Al-Attar GS. Long-term follow-up and patient satisfaction after reduction mammoplasty: Superomedial versus inferior pedicle. Indian J Plast Surg 2016; 49: 214-9.
- 7. Sezgin B, Fındıkçıoğlu K, Sibar S, Barut İ, Ayhan S, et al. Geçmişten günümüze klinikte meme küçültme: geriye dönük kesitsel bir bakış. Turk J Plast Surg 2012; 20: 19-22.
- 8. Lacerna M, Spears J, Mitra A, Medina C, McCampbell E, et al. Avoiding free nipple grafts during reduction mammaplasty in patients with gigantomastia. Ann Plast Surg 2005; 55: 21-4.
- 9. Pennington DG. Improving the results of inferior pedicle breast reduction using pedicle suspension and plication. Aesthetic Plast Surg 2006; 30: 390-4.
- 10. Zic R, Vlajcic Z, Dewing D, Zambelli M, Stanec Z. The “dermal cage”: a modification of the inferior pedicle breast reduction. Aesthetic Plast Surg 2013; 37: 364-71.
- 11. Cruz NI, Korchin L. Lactational performance after breast reduction with different pedicles. Plast Reconstr Surg 2007; 120: 35-40.
- 12. Echo A, Guerra G, Yuksel E. The dermal suspension sling: shaping the inferior pedicle during breast reduction. Aesthetic Plast Surg 2011; 35: 608-16.
- 13. Brown RH, Izaddoost S, Bullocks JM. Preventing the “bottoming out” and “star-gazing” phenomena in inferior pedicle breast reduction with an acellular dermal matrix internal brassiere. Aesthetic Plast Surg 2010; 34: 760-7.
- 14. Romano JJ, Francel TJ, Hoopes JE. Free nipple graft reduction mammoplasty. Ann Plast Surg 1992; 28: 271-6.
- 15. Hansen JE. Avoiding the unfavorable outcome with wise pattern breast reduction. Clin Plast Surg 2016; 43: 349-58.
- 16. Waltho DA, Kaur M, Farrokhyar F, Banfield LE, Thoma A. Inverted T versus vertical scar incision technique for women undergoing breast reduction surgery. Cochrane Database Syst Rev 2016, Issue 2. Art. No.: CD012094. DOI: 10.1002/14651858.CD012094.
- 17. Özyazgan İ, Eskitaşçıoğlu T, Baykan H, Günay GK. İnferior Piramidal Pediküllü Glandüler Flep İle Meme Küçültme Ameliyatında "Anahtar Deliği" Kalıbının Kullanımına Yeni Bir Yaklaşım. Turk J Plast Surg 2005; 13: 84-8.
- 18. Sumpter K, Gershenbaum S, Cartwright MJ. Bifurcated Inferior Pedicle with a Bucket-Handle Pectoralis Flap to Enhance Superior Pole Fullness in Breast-Reduction Surgery. Am J Cosm Surg 2003; 20: 35-8.
- 19. Lockwood T. Reduction mammaplasty and mastopexy with superficial fascial system suspension. Plast Reconstr Surg 1999; 103: 1411-20.
- 20. Temel M, Karakaş AO, Dokuyucu R, Türkmen A. ‘‘The dermal internal brassiere flap,’’ a new modification of inferior pedicle breast reduction technic. Aesthetic Plast Surg 2015; 39: 350-8.
- 21. Hinderer UT. Mammaplasty: The dermal brassière technique. Aesthetic Plast Surg 1978; 2: 1-20.
- 22. Kankaya Y, Oruç M, Sungur N, Gürsoy K, Özer K, et al. Four flap suspension technique for prevention of bottoming out after breast reduction. Ann Surg Treat Res 2016; 90:10-5.
- 23. Brown RH, Izaddoost S, Bullocks JM. Preventing the "bottoming out" and stargazing" phenomena in inferior pedicle breast reduction with an acellular dermal matrix internal brassiere. Aesthetic Plast Surg 2010; 34: 760-7.
- 24. Mutlu OO, Colak O, Atay M. Abdominal Wall Hernias and Their Repair with Inverse Abdominoplasty. In: Tiryaki T (ed). Inverse Abdominoplasty, first edn. Berlin: Springer, 2017; 157-73.
- 25. Simsek T, Engin MS, Abdullayev A, Kucuker I, Demir A, et al. Accordion-style pedicle suspension in inferocentral pedicled mammoplasty. J Plast Surg Hand Surg 2016; 50: 307-14.
- 26. Iwuagwu OC, Drew PJ. Deskinning versus deepithelialization for inferior pedicle reduction mammoplasty: a prospective comparative analysis. Aesthetic Plast Surg 2005; 29: 202-4.
- 27. Aydin H, Uluğ BT AÇ. Reduction Mammaplasty Using Inferior Pedicle Technique Combined with Dermal Suspension. In: Shiffman MA (ed). Mastopexy and Breast Reduction, first edn. Berlin: Springer, 2009; 429-33.
There are 27 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Surgical Science Research Articles |
| Authors | |
| Publication Date | September 30, 2019 |
| Acceptance Date | September 28, 2019 |
| Published in Issue | Year 2019Volume: 41 Issue: 3 |