Discussion: The Blood Supply of the Breast Revisited

Hall-Findlay, Elizabeth J.

doi:10.1097/prs.0000000000002123

Cited by 11 publications

(3 citation statements)

References 8 publications

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“…This is another advantage of our technique compared with classic breast reduction techniques, in which the NAC necrosis was reported to be 6% using a superior pedicle. 34 …”

Section: Discussionmentioning

confidence: 99%

Superior Pedicle Inverted T-reduction Mammaplasty with Short Horizontal Scar

Arbeláez,

Eslait

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Superior pedicle breast reduction is a very popular technique among plastic surgeons. This technique has had many variations looking for fewer complications and better long-lasting results. The aim of this article is to present a novel technique of breast reduction, making variations in the design of the periareolar incision, using a superior pedicle with a constant vertical incision of 5 cm and a shortened horizontal incision. Methods: The superior pedicle inverted T-mammoplasty with a shortened horizontal scar technique was performed in 1200 patients who underwent surgery between 2010 and 2023; follow-up examination was carried out for an average of 1 year (3 months to 3 years). A patient satisfaction survey was conducted. Results: Patient satisfaction rate was 99%. There were no cases of total necrosis of the areola–nipple complex, 2.7% of the patients presented partial necrosis of the areola–nipple complex, 1.4% of the patients presented local infection, 1.7% presented dehiscence at some point of the vertical or horizontal suture, 4% of the patients presented a widened scar, 8% of the patients presented alteration in the sensibility of the areola–nipple complex, and 0.6% of the patients presented hematoma. With this technique, a rise of the areola–nipple complex of up to 22cm was achieved. Conclusions: The superior pedicle inverted T-mammaplasty with shortened horizontal scar technique showed a lower number of surgical complications compared with other techniques previously used for breast reduction, even when applied in gigantomasty. It provides lasting results and a high rate of patient satisfaction.

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“…This is another advantage of our technique compared with classic breast reduction techniques, in which the NAC necrosis was reported to be 6% using a superior pedicle. 34 …”

Section: Discussionmentioning

confidence: 99%

Superior Pedicle Inverted T-reduction Mammaplasty with Short Horizontal Scar

Arbeláez,

Eslait

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…На основании анастомозирования a. thoracica lateralis и a. thoracica interna P. V. van Deventer и соавт. в обзорной статье делают вывод, что кровоснабжение МЖ является сегментарным [4], однако E. J. Hall-Findlay вносит коррективы, утверждая, что при сегментарном кровоснабжении МЖ кровоснабжение САК является осевым, причем доминантным источником выступает ветвь внутренней грудной артерии, которая подходит к САК сверху и может иногда отсутствовать [5]. Это утверждение подтверждается рядом публикаций, в которых описываются доминантные сосуды САК из бассейнов a. thoracica interna и a. thoracica lateralis [6,7].…”

Section: результатыunclassified

The Blood Supply to the Nipple-Areolar Complex (A Literature Review)

Егоров¹,

Дзотцоев²

2017

Tumors of female reproductive system

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“…Prior to mastectomy, perfusion to the breast is primarily derived from the internal thoracic artery with contributions from the lateral thoracic, thoracoacromial and anterior intercostal vessels, (14-18) although extension to the nipple and subareolar dermal plexus is less well defined. (18, 19) NSM creates random pattern flaps whose perfusion pattern is not well characterized. Still, analysis of pre- and postmastectomy angiography suggests that preoperative perfusion patterns may impact post-NSM nipple perfusion,(20) and perfusion of the nipple-areola complex may be improved by preservation of the internal thoracic artery.…”

Section: Introductionmentioning

confidence: 99%