Inverted T versus vertical scar incision technique for women undergoing breast reduction surgery

Waltho, Daniel; Kaur, Manraj; Farrokhyar, Forough; Banfield, Laura; Thoma, Achilleas

doi:10.1002/14651858.cd012094

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…In the last two decades, there have been many developments in breast reduction procedures with different results [ 4 ]. In general, breast reduction surgery aims to remove breast tissue (skin, adipose, and glands) and transposing the NAC which aims to form breasts that are smaller, symmetrical, look more attractive, and reduce complaints caused by massive and hanging breasts [ 8 , 12 ]. Vertical scar mammaplasty with superior pedicle surgery is a surgical technique that combines a superior pedicle for the areola and performs a central-inferior quadrant resection for breast reduction [ [13] , [14] ].…”

Section: Discussionmentioning

confidence: 99%

A successful breastfeeding after vertical scar reduction mammaplasty with superior pedicle: A case report

Seswandhana

Anzhari

Dachlan

2020

Annals of Medicine and Surgery

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Introduction Most of patients undergo reduction mammaplasty for aesthetic or therapeutic reasons without consider the effect on breastfeeding function. Vertical scar mammaplasty with superior pedicle is expected to be a breast reduction procedure that can keep maintain the function of breastfeeding. This is the first recorded report of breastfeeding after vertical scar reduction mammaplasty with superior pedicle in Indonesia. Presentation of case A 23 years old woman presented to the outpatient clinic with enlargement of both breast for 3 years. Physical examination showed bilateral breast enlargement. No tenderness, nodules, nor axillary lymph node enlargement were found. The patient was managed with vertical scar mammaplasty with superior pedicle. The patient was followed up with complication of skin excess and scarring on the bilateral submammary folds. We performed excision and resection procedures to eliminate the skin excess and scars without further complications. The patient was married and gave birth to her first and second child after two and five years following mammaplasty. The patient was able to provide exclusive breastfeeding for both of her children. Discussion Vertical scar mammaplasty with superior pedicle surgery is a surgical technique that combines a superior pedicle for the areola and performs a central-inferior quadrant resection for breast reduction. It only takes the tissue and glands that are located in the lower quadrant and still maintains the surrounding tissue and glands. This technique also maintains the integrity of nipple-areola complex (NAC) which also important in the lactation process Conclusion Vertical scar mammaplasty with superior pedicle can be one of the superior techniques in breast reduction which can maintain the breastfeeding function thereby increasing patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

A successful breastfeeding after vertical scar reduction mammaplasty with superior pedicle: A case report

Seswandhana

Anzhari

Dachlan

2020

Annals of Medicine and Surgery

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“…4,[8][9][10][11] However, development of pseudoptosis (bottoming-out deformity) due to gravity-induced stretching of vertical limb of the inverted-T scar and a flat and boxy-shaped breast with poor projection are highlighted as its major criticisms. 10,[12][13][14][15][16] Furthermore, timeconsuming deepithelialization of a large area and tension at the T-junction, which may result in difficulty in suture closure and subsequent wound dehiscence, are noted as its technical challenges. 10,16 In this article, it was aimed to present clinical outcomes and experiences in a series of inverted-T scar reduction mammaplasty, in which plication and dermal flap suspension of the inferior pedicle were performed together.…”

Section: Introductionmentioning

confidence: 99%

“…10,[12][13][14][15][16] Furthermore, timeconsuming deepithelialization of a large area and tension at the T-junction, which may result in difficulty in suture closure and subsequent wound dehiscence, are noted as its technical challenges. 10,16 In this article, it was aimed to present clinical outcomes and experiences in a series of inverted-T scar reduction mammaplasty, in which plication and dermal flap suspension of the inferior pedicle were performed together. While combined use of these maneuvers helps to avoid unintended outcomes of the inferior pedicle, it aids in generating a projectile and conical breast mold with satisfying cosmetic results.…”

Section: Introductionmentioning

confidence: 99%

Our experiences regarding combined use of pedicle plication and dermal flap suspension in inferior pedicle inverted-T scar reduction mammaplasty

Eskitaşçıoğlu¹,

Yontar²

2019

Cumhuriyet Medical Journal

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To present clinical outcomes and experiences regarding the combined use of plication and dermal flap suspension of inferior pedicle in inverted-T scar reduction mammaplasty. Method: One hundred and twenty-one cases with bilateral macromastia were operated by using the present technique between March 2008 and November 2017. The cases were reviewed retrospectively regarding demographics, preoperative findings, and postoperative outcomes. Of the 121 cases, 22 were excluded from the study analysis. Results: The mean age of the cases was 39.77 years. The mean preoperative diameter of NAC and the mean preoperative distances of mid-clavicle-tonipple, nipple-to-IMF and IMF were 6.54, 33.48, 15.98 and 25.09 cm, respectively. The mean weight of excised tissue per case was 2033.32 g. There were three cases with unilateral T-junction dehiscence and two cases with unilateral T-junction necrosis. Furthermore, one case presented with bilateral, and two cases presented with unilateral superficial partial necrosis of NAC. At long-term, six cases had a slight asymmetry, two had bilateral pseudoptosis, and three had bilateral hypertrophic scarring among the transverse incision of the inverted-T scar. One case underwent bilateral excision of lateral dog ears, and one underwent surgery due to unilateral fat necrosis at postoperative 3 rd month-two cases presented with unilateral loss of NAC sensation. The overall satisfaction with the operation was high. Conclusions: The outcomes of this study led us to conclude that the combined use of pedicle plication and dermal flap suspension improves the shape and position controllability of the inferior pedicle, produces a projectile and stabilized breast mound, aids in achieving satisfactory longterm cosmetic outcomes, and prevents breast deformities. Extended operative time can be considered as a disadvantage of the technique.

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Outcomes and Outcome Measures in Breast Reduction Mammaplasty: A Systematic Review

Waltho

Gallo

et al. 2019

Aesthetic Surgery Journal

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Background Reduction mammaplasty remains critical to the treatment of breast hypertrophy. No technique has been shown to be superior; however, comparison between studies is difficult due to variation in outcome reporting. Objectives The authors sought to identify a comprehensive list of outcomes and outcome measures in reduction mammaplasty. Methods A comprehensive computerized search was performed. Included studies were randomized or nonrandomized controlled trials involving at least 100 cases of female breast hypertrophy and patients of all ages who underwent 1 or more defined reduction mammaplasty technique. Outcomes and outcome measures were extracted and tabulated. Results A total 106 articles were eligible for inclusion; 57 unique outcomes and 16 outcome measures were identified. Frequency of patient-reported and author-reported outcomes were 44% and 88%, respectively. Postoperative complications were the most frequently reported outcome (82.2%). Quality-of-life outcomes were accounted for in 37.7% of studies. Outcome measures were either condition-specific or generic; frequencies were as low as 1% and as high as 5.6%. Five scales were formally assessed in the breast reduction populations. Clinical measures were defined in 15.1% of studies. Conclusions There is marked heterogeneity in reporting of outcomes and outcome measures in the literature. A standardized outcome set is needed to compare outcomes of various reduction mammaplasty techniques. Level of Evidence: 4

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Inverted T versus vertical scar incision technique for women undergoing breast reduction surgery

Cited by 3 publications

References 26 publications

A successful breastfeeding after vertical scar reduction mammaplasty with superior pedicle: A case report

A successful breastfeeding after vertical scar reduction mammaplasty with superior pedicle: A case report

Our experiences regarding combined use of pedicle plication and dermal flap suspension in inferior pedicle inverted-T scar reduction mammaplasty

Outcomes and Outcome Measures in Breast Reduction Mammaplasty: A Systematic Review

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