Understanding modern breast reduction techniques with a simplified approach

Andrades, Patricio; Prado, Arturo

doi:10.1016/j.bjps.2007.11.060

Cited by 18 publications

(11 citation statements)

References 52 publications

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“…There are wrinkles at the center of the breast because an insufficient area of skin was removed and because an insufficient volume of glandular tissue remained under the skin patterns for mastopexy and reduction mammaplasty. The best procedure is chosen by evaluating the characteristics of the breast [12][13][14]. The key to these techniques is the translocation of the nipple-areola.…”

Section: Discussionmentioning

confidence: 99%

Mammaplasty using an inverted-T technique following the excision of a giant phyllodes tumor

et al. 2013

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We report the case of a woman with a giant phyllodes tumor who successfully underwent a mammaplasty after breast-conserving surgery (BCS). The patient was a 40-year-old woman with a 25-cm lump in the left breast. The lesion was diagnosed as a phyllodes tumor by core needle biopsy. The patient was informed about the risks and benefits of BCS and total mastectomy. She selected BCS, and a mammaplasty using an inverted-T technique was performed after the complete resection of the tumor. The skin was expanded, and the nipple-areola was transplanted as a free graft to achieve breast symmetry. The mass was histopathologically diagnosed as a benign phyllodes tumor. The patient was satisfied with the cosmetic results. This method is considered to be one of the options for the treatment of giant phyllodes tumors.

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Section: Discussionmentioning

confidence: 99%

Mammaplasty using an inverted-T technique following the excision of a giant phyllodes tumor

et al. 2013

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“…The leading cause of ongoing attempts to seek an ideal technique is complications such as failure to achieve the desirable aesthetic result, decreased or lack of lactation, decreased or loss of sensual and erogenous feeling of the nipple, insufficient projection and postoperative pseudoptosis and wound healing problems. Ultimate goal of any pedicle is to provide sufficient blood supply to the nipple areola complex [12]. It has been reported that superior pedicled mammaplasty causes considerable changes in blood circulation due to the transposition of the pedicle and that there is decreased NAC sensation in the superior pedicle in the short term.…”

Section: Discussionmentioning

confidence: 99%

Modification of Moufarrege Total Posterior Pedicle Mammaplasty: Conical Plicated Central U Shaped (COPCU's) Mammaplasty

Copçu¹

2011

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Reduction mammaplasty and mastopexy is one of the biggest operation groups which have many techniques and their modifications. Generally accepted that, new modifications are the results of improvements of existing techniques. In this study we present a new modification of Moufarrege total posterior pedicle mammaplasty. We performed central plication to achieve a juvenile look in the superior pole of the breast and to prevent postoperative pseudoptosis and used central U shaped flap to achieve maximum NAC safety and to preserve lactation and nipple sensation. Sixty-nine patients were operated with the above mentioned tech-nique. Out of 69 patients, 52 underwent reduction mammaplasty (11 had gigantomastia), eleven mastopexy, and six oncoplastic. All of the patients were satisfied with functional and aesthetic results and none of them had major complications such as total NAC loss. Only six patients had wound healing problems on the suture line and two patients had minimal hematoma. Since we performed conical plication we would like to evalu-ate long term effects of the plication in the breast parenchyma. Breast parenchyma was visualized with USG in younger patients and mammography in older patient in postoperative 6 months and 1 year. We never observed any problem related with our sutures and retroareolar part of the areola examination for ductal patency was performed and interestingly all the patients had very clear ductal patency. Our modification is a safe, reliable technique which creates the least scar, avoids previously described disadvantages, provides maximum preservation of functions, can be employed in all breasts regardless of their sizes and is appropriate for oncoplastic surgery and revision surgery

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“…Superior pedicles have limited arcs of rotation, while central or inferior pedicles have a higher chance of bottoming out as a result of gravity (Andrades and Prado, 2008). …”

Section: Pre-operative Assessmentmentioning

confidence: 99%

“…A combination of these two excisions will result in a T-shaped skin excision (Andrades and Prado, 2008). Other skin patterns are periareolar, dome shape, circumvertical and bipolar (Andrades and Prado, 2008).…”

Section: Skin Patternsmentioning

confidence: 99%

“…The pedicle can have one vascular base (monopedicle), which can be superior, inferior, lateral or medial, or two vascular bases (bipedicle) which can be horizontal, vertical or combined. The former is achieved by near total circumferential glandular excision, while the latter is achieved by wedge or base excision (Andrades and Prado, 2008).…”

Section: Pre-operative Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Textbook of Plastic and Reconstructive Surgery

Butler¹,

Ghali²,

Kalaskar³

2016

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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

Understanding modern breast reduction techniques with a simplified approach

Cited by 18 publications

References 52 publications

Mammaplasty using an inverted-T technique following the excision of a giant phyllodes tumor

Mammaplasty using an inverted-T technique following the excision of a giant phyllodes tumor

Modification of Moufarrege Total Posterior Pedicle Mammaplasty: Conical Plicated Central U Shaped (COPCU's) Mammaplasty

Textbook of Plastic and Reconstructive Surgery

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