Use of the back-folded dermaglandular inferior pedicle in mammary amputation:
            improving results

Mattioli, Wellerson Marcos; Júnior, Sergio Augusto Penazzi; Melo, David Silveira Farias De

doi:10.5935/2177-1235.2017rbcp0057

Cited by 2 publications

(4 citation statements)

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“…Some studies mentioned breast sized/tumour size ratio or resection size to breast size ratio ( 35 , 36 ), which can be used for small- and medium-sized breasts, using regional tissue transfer with local/regional flaps ( 18 , 35 – 37 ). We also observed new options, such as regional flaps ( 38 – 47 ), partial breast amputation ( 48 – 51 ), and flap guides for central tumours ( 52 ). It is important to accept and include these new indications in the spectrum of EO.…”

Section: Resultsmentioning

confidence: 94%

“…The EO concept extends the original technique to the use of locoregional flaps ( 37 ) and other techniques where extensive resections would lead to loss of cosmetic results ( 54 ), while OS allows safe resection with acceptable results. New possibilities for EO are random flaps ( 55 ), pedicled flaps ( 38 ), latissimus dorsi miniflaps ( 12 , 39 ), and partial breast amputation ( 48 – 51 ). The techniques are associated with volume replacement ( 37 ) for small-to-moderate-sized breasts.…”

Section: Discussionmentioning

confidence: 99%

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Extreme oncoplasty: past, present and future

Vieira,

Paulinelli,

de Oliveira-Junior

2024

Front. Oncol.

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Breast surgery has evolved from mastectomy to breast-conserving surgery (BCS). Breast oncoplastic surgery later emerged with the inclusion and development of techniques used in plastic surgery for breast neoplasms. Recently, a new paradigm has been considered for mastectomy candidates with large multifocal and multicentric tumours, designated extreme oncoplasty (EO), which has allowed new techniques to be applied to tumours that would have been ineligible for BCS before. There are few publications and no uniform descriptions grouping all the technical possibilities and new indications together. We performed this a review with the objective of evaluating the indications and surgeries performed in the EO context, representing a new perspective for BCS. We observed new indications as extensive microcalcifications, locally advanced breast carcinoma with partial response to chemotherapy, small to moderate-sized non-ptotic central tumours and extreme ptosis. Small breasts are able for EO since the presence of ptosis. New surgeries are reported as disguised geometric compensation, perforators flaps, local/regional flaps, latissimus dorsi miniflap and partial breast amputation. It is important to decrease barriers to oncoplastic surgery if we want to increase the use of EO and BCS rates.

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Section: Resultsmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Extreme oncoplasty: past, present and future

Vieira,

Paulinelli,

de Oliveira-Junior

2024

Front. Oncol.

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“…The surgical technique of free nipple graft (FNG), or areola autograft (Figures 1-3), was first described about 100 years ago by the Hungarian-American doctor named Max Thorek in 1922 1,2 . Its application was originally meant exclusively to reduction mammaplasty, but later expanded its role into areas of mastology intervention, such as oncoplastic surgery 3 and chest adjustment surgery in transgender males 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…In this scenario, the technique first described by Thorek 1,2 in 1922, i.e., FNG, represented a mark in mammoplasty reduction at the time, due to its ability to maintain the nipple areolar complex (NAC), compared to underexplored by prior used techniques, such glandular and skin excision described by Frenchmen Morestin in 1908 1 . Despite its aesthetic functional limitations, related to insufficient breast projection and total loss of sensibility and lactation function of the nipple 1,2,[9][10][11] , FNG remains the first choice technique in patients with gigantomastia weighing 1000 g and ptotic breasts 11 . Moreover, modifications of the original technique are providing new alternatives for indicating the use of FNG [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Free nipple graft: current indications and applications of a centenary breast surgery technique – an integrative review

et al. 2022

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Introduction: Free nipple graft is a mammaplasty technique first described about 100 years ago. Its indication, restricted to reduction mammoplasty earlier, has been expanding into areas in mastology intervention, such as transgender and oncological surgery. Aim: The aim of this study was to evaluate the efficacy and outcomes of the technique. Methods: Electronic literature search was conducted, using PubMed and LILACS databases. The search strategy consisted of the keywords, MeSH terms, and free text words and variants for the free nipple graft and its application in reduction and mammaplasty, transgender, and oncoplastic surgery. Results: A total of 397 articles were found and, after inclusion and exclusion criteria, 15 were selected. Their outcomes have been shown, despite lack of standardized scores, as well as clinical trials to postulate better scientific evidence on its use and indications, that the technique, analyzed in over 1290 patients, achieved high safety rates and reproducibility. Conclusion: Aesthetics and patients satisfaction were found positive, as recommended by the authors in different studies discussed in this article.

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Use of the back-folded dermaglandular inferior pedicle in mammary amputation: improving results

Cited by 2 publications

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Extreme oncoplasty: past, present and future

Extreme oncoplasty: past, present and future

Free nipple graft: current indications and applications of a centenary breast surgery technique – an integrative review

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