Combination of Würinger’s Horizontal Septum and Inferior Pedicle Techniques to Increase Nipple-Areolar Complex Viability During Breast Reduction Surgery

Kelahmetoğlu, Osman; Firinciogullari, Remzi; Yağmur, Çağlayan; Yıldız, Kemalettin; Güneren, Ethem

doi:10.1007/s00266-017-0933-9

Cited by 10 publications

(5 citation statements)

References 25 publications

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“…In our study, the mean resection weight was 1270 ± 396 and 1242 ± 430 g from the right and left breasts, respectively, and none of our cases had NAC necrosis, while 2 breasts (4%) had minor wound dehiscence. In a similar study, Kelahmetoglu et al [13] used Würinger's septum and inferior pedicle techniques for 120 breast reductions. The mean resection weight was 1406 ± 566 and 1340 ± 563 g from the right and left sides, respectively.…”

Section: Discussionmentioning

confidence: 99%

Upper Footprint Dependent Nipple Position to Avoid High-Riding Nipple after Reduction Mammoplasty

Mahmoud¹,

Homouda²,

Elghazaly³

et al. 2022

MPS

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Section: Discussionmentioning

confidence: 99%

Upper Footprint Dependent Nipple Position to Avoid High-Riding Nipple after Reduction Mammoplasty

Mahmoud¹,

Homouda²,

Elghazaly³

et al. 2022

MPS

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“…In order to minimize complications, operation time should be kept at minimum, and problems arising from flap circulation should be dealt with special care. Modifications were applied to save NAC viability such as utilizing delay technique [8], different surgical modifications, [9][10][11][12] and post-operative leech therapy [13].…”

Section: Discussionmentioning

confidence: 99%

Simplifying Free Nipple Graft Mammoplasty in Postmenopausal Obese Patients using Inferior Dermaglandular Flap

et al. 2021

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Breast hypertrophy causes medical problems ranging from back and neck pain to dermatitis creating a demand for breast reduction surgery along with aesthetic and psychological reasons. Free-nipple-graft breast reduction surgery is a safeguard procedure for patients who are at risk for nipple necrosis with pedicled techniques but has a disadvantage of resultant flat breasts with poor projection. Study included twenty-three postmenopausal women who underwent breast reduction with inferior pedicled dermaglandular flap and free-nipple-grafting, between September 2015 and January 2020. A rectangular 8 × 10 cm inferior-pedicled dermaglandular flap was dissected and anchored to the thoracic wall for better projection and upper pole fullness. All patients had at least one comorbidity. Visual analog scale was evaluated at 1-3 months. Mean age of the patients was 54.08 SD 4.65 years, and mean body mass index (BMI) was 33.56 SD 2.53. Mean follow-up period was 10.56 SD 5.6 months. Mean SN-N distance was 37.45 SD 3.77 and 38.86 SD 3.91 cm for right and left breasts, respectively. Mean resection weight was 1373 SD 440 g. Wound dehiscence was seen in 3 patients (13.0%) and treated medically. No other complications, including total nipple areolar complex (NAC) loss, were seen. Mean visual analog scale score for patient satisfaction was 7.7. All patients were satisfied with their final breast shapes. Utilizing inferior dermaglandular pedicled flap technique with free-nipple-graft breast reduction mammaplasty provides better nipple projection and a more aesthetically pleasing breast shape and contour. It helps achieve an effortless preoperative planning and a straightforward procedure with high patient satisfaction in postmenopausal obese women.

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“…3. Variants of the vascular dermoglandular pedicles of the nipple-areola complex Сохранение кровоснабжения САК -обязательное условие редукционной маммопластики, поскольку САК является наиболее важной эстетической и функциональной частью МЖ [30].…”

Section: редукционная маммопластика: техника принципы осложненияunclassified

Features of the blood supply to the breast in the context of reduction mammoplasty

et al. 2022

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The blood supply to the nipple-areola complex of hypertrophied mammary glands is variable and unpredictable in each patient who is planned to undergo reduction mammoplasty. The review provides historical aspects and modern views on reduction mammoplasty and the study of blood supply to hypertrophied mammary glands. The emphasis is also placed on the importance of preoperative diagnostics of the peculiarities of blood supply to the nipple-areola complex.

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Combination of Würinger’s Horizontal Septum and Inferior Pedicle Techniques to Increase Nipple-Areolar Complex Viability During Breast Reduction Surgery

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 10 publications

References 25 publications

Upper Footprint Dependent Nipple Position to Avoid High-Riding Nipple after Reduction Mammoplasty

Upper Footprint Dependent Nipple Position to Avoid High-Riding Nipple after Reduction Mammoplasty

Simplifying Free Nipple Graft Mammoplasty in Postmenopausal Obese Patients using Inferior Dermaglandular Flap

Features of the blood supply to the breast in the context of reduction mammoplasty

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