2021
DOI: 10.1007/s00266-021-02351-y
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Double-Unit Superomedio-Central (DUS) Pedicle Inverted-T Reduction Mammaplasty in Gigantomastia: A 7-year Single-Center Retrospective Study

Abstract: Introduction Reduction mammaplasty in patients with gigantomastia is challenging. The Double-Unit technique with a Superomedio-Central pedicle and inverted-T incision is the standard technique for reduction mammaplasty in our clinic. The aim of this study was to review our approach in cases with gigantomastia in comparison with the current literature. Patients and Methods From 01/2011 to 12/2017, we performed 831 reduction mammaplasties in 630 patients. Th… Show more

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Cited by 11 publications
(9 citation statements)
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“…Oncological safety is always a concern for OPS procedure. Owing to a larger resection of breast tissue, the positive incision margin rates were much lower in OPS techniques than that in classic BCS process (10-12% vs. 19 Some limitations exist in this retrospective study. The overall number of patients in the cohort of breast cancer with ptosis is small.…”
Section: A B Cmentioning
confidence: 86%
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“…Oncological safety is always a concern for OPS procedure. Owing to a larger resection of breast tissue, the positive incision margin rates were much lower in OPS techniques than that in classic BCS process (10-12% vs. 19 Some limitations exist in this retrospective study. The overall number of patients in the cohort of breast cancer with ptosis is small.…”
Section: A B Cmentioning
confidence: 86%
“…Orlando described the superomedial pedicle in 1975 (17). All these pedicle techniques were demonstrated to be reliable and safe in various literatures (6,11,18,19).…”
mentioning
confidence: 99%
“…The IP is a well-established technique in a wide range of macromastic breast types and the complication rate is rather low (7). A major criticism is a potential development of "bottoming out" in the lower pole, especially in gigantomastic breasts with severely impaired skin quality (8). On the other hand, the SMP can be used with various skin reductions and has been frequently reported to be reliable and safe (8)(9)(10) and has some advantages: Compared to the SP, the SMP incorporates more medial parenchyma and thereby provides better vascularity of the NAC, a lower risk for bottoming out and an improved cosmetic durability (11).…”
mentioning
confidence: 99%
“…A major criticism is a potential development of "bottoming out" in the lower pole, especially in gigantomastic breasts with severely impaired skin quality (8). On the other hand, the SMP can be used with various skin reductions and has been frequently reported to be reliable and safe (8)(9)(10) and has some advantages: Compared to the SP, the SMP incorporates more medial parenchyma and thereby provides better vascularity of the NAC, a lower risk for bottoming out and an improved cosmetic durability (11). The superomedial pedicle can also be improved by combining the 2 nd and 3 rd intercostal perforators with the perforators rising from the "Wueringer's breast septum" as a Double-Unit-Superomediocentral (DUS) pedicle, especially in gigantomastic cases (8).…”
mentioning
confidence: 99%
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