Commentary on: The central pillar technique: a new septum-based pedicle design for reduction mammaplasty.
نویسنده
چکیده
BACKGROUND Successful breast reduction involves remodeling the breast parenchyma and creating a pedicle to maintain blood supply to the nipple-areola complex (NAC). Although vascular compromise is generally venous in breast reduction surgery, clear anatomical descriptions of the breast veins are lacking in textbooks. OBJECTIVES The author designed an NAC flap based on arterial and venous territories defined in a cadaver study and subsequently assessed the technique in a series of live patients. METHODS Dynamic venous angiography was performed on hemithorax specimens from 6 fresh female cadavers. A new septum-based pedicle (the "central pillar") was designed, which protected the periareolar vein polygon along with the breast septum. Sixty-seven patients underwent breast reduction with this technique between 2005 and 2010. RESULTS The patients were followed for an average of 26.4 months. Sixty-two of the 67 patients underwent bilateral reduction. The average reduction in tissue per breast was 910.7 g (range, 440-1935 g), and the average nipple transposition was 9.6 cm (range, 6-17 cm). The most common complications were delayed healing of the vertical "puckered" suture line (16 patients), seroma (7 patients), hematoma (2 patients), and unilateral deepithelialization of the NAC following transient venous congestion (2 patients). The patient satisfaction rate was high. CONCLUSIONS The central pillar technique is a promising alternative for young patients with glandular breasts that require gross reduction and high-transposition NAC, who are not good candidates for the "free nipple graft" technique.
منابع مشابه
A New Reduction Mastopexy Design for Young Women: Snowman Pattern
BACKGROUND Many young women are satisfied with their large breasts but suffer from sagging due to heaviness. In this article we present a novel modification of vertical scar breast reduction based on a special indication. METHODS From January 2006 to May 2012, twenty five individual patients underwent operation using modified technique with superior pedicle and vertical scar. Young women betwee...
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Reduction mammaplasty and mastopexy is one of the biggest operation groups which have many techniques and their modifications. Generally accepted that, new modifications are the results of improvements of existing techniques. In this study we present a new modification of Moufarrege total posterior pedicle mammaplasty. We performed central plication to achieve a juvenile look in the superior po...
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BACKGROUND Resection and reshaping of the parenchyma are common procedures to produce a natural breast shape in reduction mammaplasty and mastopexy. The challenges of these practices include maintaining sensitivity of the nipple-areola complex (NAC), achieving upper-pole fullness, and preserving an adequate blood supply for patients with massive breast ptosis. OBJECTIVES The authors describe ...
متن کاملComparison study of nipple-areolar sensation after reduction mammaplasty.
BACKGROUND Although many techniques of reduction mammaplasty are currently in use, a prospective study quantitating the sensation of the nipple-areolar complex (NAC) after the performance of specific techniques has not been performed. OBJECTIVE The purpose of this study was to quantitate the postoperative sensation of the NAC after reduction mammaplasty and to compare the results on the basis...
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ورودعنوان ژورنال:
- Aesthetic surgery journal
دوره 32 5 شماره
صفحات -
تاریخ انتشار 2012