Reduction Mammaplasty Using the Inferior Pedicle Technique

Wallace, William H.; Thompson, Williamf .; Smith, R. A.; Barraza, K. R.; Davidson, Samantha; Thompson, J. T.

doi:10.1097/00000637-199803000-00007

Cited by 29 publications

(11 citation statements)

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“…The questionnaire had items similar to those used in several previous studies to determine patient satisfaction with breast surgery. [17][18][19][20][21][22][23][24][25] The study design was approved by the institutional review board of the University of Puerto Rico.…”

Section: Methodsmentioning

confidence: 99%

Vertical versus Wise Pattern Breast Reduction: Patient Satisfaction, Revision Rates, and Complications

Cruz-Korchin

Korchin

2003

Plastic and Reconstructive Surgery

104

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A prospective, randomized study was designed to compare the outcome of inferior pedicle/Wise pattern reduction (group I) with medial pedicle/vertical pattern reduction (group II) in moderate resections averaging 500 g per breast. There were 105 women in group I and 103 women in group II. All surgical procedures were performed by the same plastic surgeon. Patient information recorded included age, body mass index, type of surgery, weight of specimen, need for surgical revision, and complications. Six months postoperatively the patients were asked to complete a questionnaire, which rated their satisfaction with the surgical outcome. The questionnaire used a 10-point response format ranging from very disappointed (score of 1) to very pleased (score of 10). The results demonstrated that there was no significant difference between the groups in age (31 +/- 12 versus 29 +/- 13 years), body mass index (26 +/- 4 versus 27 +/- 5), and amount of tissue excised (553 +/- 203 g versus 548 +/- 205 g). Group I required no surgical revisions, but in group II revisions for dog-ears were required in 11 percent. The rate of other complications was similar in both groups. Patients' evaluations of breast size, shape, symmetry, nipple sensation, symptom relief, ease of brassiere/clothing fitting, and overall satisfaction were not significantly different. The vertical mammaplasty was ranked significantly (p < 0.05) higher by patients in regard to scars (6 +/- 2 versus 3 +/- 3) and overall aesthetic results (8 +/- 1 versus 6 +/- 3). In the management of moderate macromastia, this study indicates that patients who have a vertical reduction are less disappointed with the scars but require a significantly higher rate of surgical revisions compared with patients who have a Wise pattern reduction.

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Section: Methodsmentioning

confidence: 99%

Vertical versus Wise Pattern Breast Reduction: Patient Satisfaction, Revision Rates, and Complications

Cruz-Korchin

Korchin

2003

Plastic and Reconstructive Surgery

104

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“…Twenty-nine studies satisfied all criteria for eligibility. 1,8,9,12,[14][15][16][17]20,[24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] Study characteristics for the 29 included studies are summarized in Table 1. The studies were conducted in North America (k=15), Europe (k=12), and elsewhere (Taiwan [k=1] and Qatar [k=1]).…”

Section: Study Characteristicsmentioning

confidence: 99%

Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies

Chadbourne

Zhang

Gordon

et al. 2001

Mayo Clinic Proceedings

148

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This systematic review and meta-analysis were undertaken to determine whether reduction mammaplasty improves measurable outcomes in women with breast hypertrophy. A systematic review of the literature in 5 languages from 1985 until March 1999 was performed, and data were compared for meta-analysis. Eligible studies were both experimental and observational and involved women with preoperative physical and/or psychosocial signs and symptoms who underwent reduction mammaplasty for breast hypertrophy. Outcomes assessed were postoperative physical signs and symptoms such as shoulder pain, shoulder (bra strap) grooving, and quality-of-life domains, such as physical and psychological functioning, and were expressed primarily as risk differences (RDs). Twenty-nine studies of 4173 patients met all eligibility criteria. Reduction mammaplasty was associated with a statistically significant improvement in physical signs and symptoms involving shoulder pain (RD, 0.71 [95% confidence interval (CI), 0.62-0.80]); shoulder grooving (RD, 0.69 [95% CI, 0.60-0.78]); upper/lower back pain (RD, 0.59 [95% CI, 0.48-0.70]); neck pain (RD, 0.50 [95% CI, 0.37-0.64]); intertrigo (RD, 0.44 [95% CI, 0.34-0.54]); breast pain (RD, 0.36 [95% CI, 0.17-0.55]); headache (RD, 0.28 [95% CI, 0.11-0.46]); and pain/numbness in the hands (RD, 0.11 [95% CI, 0.04-0.18]). The quality-of-life parameter of physical functioning was also statistically significant (RD, 0.58 [95% CI, 0.44-0.71]), while psychological functioning was not significant (RD, 0.46 [95% CI, 0.00-1.00]). The evidence suggests that women undergoing reduction mammaplasty for breast hypertrophy have significant postoperative improvement in preoperative signs and symptoms, quality of life, or both.

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“…The flap with inferior pedicle [12] used in mammoplasties has shown to be a great surgical option with excellent results. However, this work [13] does not describe its use in post-bariatric breast surgery where ptosis has become extremely severe tending to impermanent results. On the other hand, flaps with superior pedicle [4] are best used in reduction mammoplasties, not specifically for post-bariatric cases.…”

Section: Discussionmentioning

confidence: 98%

Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

Resende¹,

Fiorelli²

2013

MPS

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Objective: To assess the rate of mammary prosthesis extrusion after mammoplasty with prosthesis implantation, to verify the resulting shape and the degree of patient satisfaction after the use of a transverse bipediculated flap with lateral irrigations. Methods: 30 patients with a weight loss of 50 kg on average after video-assisted bariatric surgery, with ptosis and excessive volumes, who underwent mammoplasty with prosthesis placement with volumes ranging from 190 to 260 cc, using a transverse flap with the aim of anchoring the silicone prosthesis. Results: In the patients' evaluation, the few postoperative complaints did not amount to complications. Pains were minimal and the discomfort with the prosthesis was acceptable. Conclusion: the transverse flap, in addition to acting as the best anchor among the existing flaps for implanted prostheses, provided a youthful, natural, anatomical, aesthetic and longer lasting appearance for the breasts.

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Reduction Mammaplasty Using the Inferior Pedicle Technique

Cited by 29 publications

References 0 publications

Vertical versus Wise Pattern Breast Reduction: Patient Satisfaction, Revision Rates, and Complications

Vertical versus Wise Pattern Breast Reduction: Patient Satisfaction, Revision Rates, and Complications

Clinical outcomes in reduction mammaplasty: a systematic review and meta-analysis of published studies

Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

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