A Preliminary Report on a Method of Planning the Mammaplasty

Wise, Robert J.

doi:10.1097/00006534-195605000-00004

Cited by 340 publications

(98 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other technical disadvantages include time-consuming deepithelialisation, poor projection, and tension at the inverted T-junction point known for all Wise pattern [17] techniques and even the short T-conversion of the vertical mammaplasty [18].…”

Section: Discussionmentioning

confidence: 99%

The “Dermal Cage”: A Modification of the Inferior Pedicle Breast Reduction

et al. 2013

View full text Add to dashboard Cite

Abstract:In spite of more recent techniques for breast reduction, the inferior pedicle technique has proven to be enduring being a still a very popular option in the plastic surgeons armamentarium despite certain shortcomings. This utility is especially so for the treatment of large breasts with a long sternal notch to nipple distance. The modifications we describe in this article, overcome some of the main drawbacks of the standard inferior pedicle technique, and is particularly effective when used with appropriately selected patients. This is achieved principally by the making of a strong, durable and internalized "dermal cage" that remains fixed to the chest wall in the upper part, as well as on both sides, to support the majority of the remaining breast tissue. This serves several purposes, including the narrowing of the breast, thereby giving good projection and reduction of the N-IMF length of the inferior pedicle.Through suspension and fixation of the inferior pedicle to the chest wall, one can obtain mitigation of the effects of gravity on the inferior pedicle. The benefits include reduced tension on the T junction, thereby reducing the incidence of wound dehiscence in the immediate post-operative phase; whilst reduction of tension on the NAC reduces "bottoming" out over the longer-term. This process has been the main short coming of the inferior pedicle technique to date.The technique was used for 26 patients over a 7 year period with a mean long term follow up of 41 months. The results demonstrate the short and long time effectiveness of our own particular combination of modifications to previously described techniques and modifications of the inferior pedicle breast reduction.EBM level: V 2

show abstract

Section: Discussionmentioning

confidence: 99%

The “Dermal Cage”: A Modification of the Inferior Pedicle Breast Reduction

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The Wise pattern (Wise, 1956) breast reduction is an inferiorly based pedicle breast reduction. After locating the new nipple position, a medial and a lateral limb are drawn down for a distance of 7 cm, with an angle between them of no more than 90°.…”

Section: Skin Patternsmentioning

confidence: 99%

Textbook of Plastic and Reconstructive Surgery

Butler¹,

Ghali²,

Kalaskar³

2016

View full text Add to dashboard Cite

A CIP catalogue record for this book is available from The British Library.This book is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at http://creativecommons.org/ licenses/by/4.0The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. The user is advised to always check the product information and clinical procedures with the most up-to-date published product information and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or misuse or misapplication of material in this work.ISBN: 978-1-910634-37-0 (Hbk.) ISBN: 978-1-910634-38-7 (Pbk.) ISBN: 978-1-910634-39-4 (PDF) ISBN: 978-1-910634-40-0 (epub) ISBN: 978-1-910634-41-7 (mobi)

show abstract

“…Although a number of skin excision patterns now exist, many plastic surgeons still use the classic inverted T-scar pattern (Wise, 1956). A key step in this technique is the preoperative marking of the medial skin incisions, which will ultimately become the medial aspect of the horizontal scar in the new inframammary fold.…”

Section: Introductionmentioning

confidence: 99%

The ‘Cleavage Imprinting’ Technique for Ensuring Mirror Image Medial Scar Symmetry in Reduction Mammoplasty

Markeson¹,

Branford²,

Al-Basri³

2013

PSIJ

View full text Add to dashboard Cite

A key step in the inverted T-scar pattern breast reduction technique is the preoperative marking of the medial skin incision which will ultimately become the medial aspect of the horizontal scar in the new inframammary fold. We describe the 'cleavage imprinting' technique that allows the surgeon to generate mirror-image medial imprint marks on the contralateral breast during preoperative marking. Using photographs from two clinical cases we demonstrate that this simple, inexpensive, easily learnt and reproducible method is a handy way of improving the symmetry of the medial incision borders in mammaplasty. Although it is not a novel technique, its widespread employment being a testament to its usefulness, to our knowledge it has not previously been described in the literature.

show abstract

A Preliminary Report on a Method of Planning the Mammaplasty

Cited by 340 publications

References 0 publications

The “Dermal Cage”: A Modification of the Inferior Pedicle Breast Reduction

The “Dermal Cage”: A Modification of the Inferior Pedicle Breast Reduction

Textbook of Plastic and Reconstructive Surgery

The ‘Cleavage Imprinting’ Technique for Ensuring Mirror Image Medial Scar Symmetry in Reduction Mammoplasty

Contact Info

Product

Resources

About