Modifications in vertical scar breast reduction

Beer, Gertrude M.; Morgenthaler, W.; Spicher, Ivo; Meyer, Viktor E.

doi:10.1054/bjps.2001.3573

Cited by 34 publications

(8 citation statements)

References 30 publications

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“…Multiple devices have been created to facilitate marking, including templates, keyhole patterns, goniometers, and others. [1][2][3][4][5][6][7][8] The standard pattern with a fixed angle of 110 degrees between the two segments was further modified by McKissock 9 to allow for adjustment of the angle to the widely variable breast shapes. The Wise keyhole pattern marking is influenced by the surgeon's experience.…”

Section: Discussionmentioning

confidence: 99%

The Sitting, Oblique, and Supine Marking Technique for Reduction Mammaplasty and Mastopexy

Fahmy

Hemington-Gorse

2006

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

The Sitting, Oblique, and Supine Marking Technique for Reduction Mammaplasty and Mastopexy

Fahmy

Hemington-Gorse

2006

Plastic and Reconstructive Surgery

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“…In der vorliegenden Studie wurden alle Patientinnen mit dem Wunsch einer Brustverkleinerung [14] Wurden die kosmetisch und medizinisch indizierte Gruppe getrennt untersucht, hatten 24 Patientinnen (18 %) a priori eine kosmetische Indikation. Bei diesen Patientinnen war das mittlere Resektionsgewicht mit 290 g signifikant kleiner als in der medizinisch indizierten Gruppe (490 g, p = < 0.001).…”

Section: Patientinnen Und Methodeunclassified

A body mass index-related scale for reconstructive breast reduction

Kompatscher

Planta

Seifert

et al. 2005

Wien Med Wochenschr

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Our retrospective review thus showed that with an arbitrary 500 g breast resection-rule all women beyond the mean values for weight and height were clearly put at a disadvantage. Also not completely solving this problem are the already available, more objective guidelines for graded minimum resection weight recommendations, which have relied on the body weight or the body surface area, parameters that both had a much lower correlation to the resected breast tissue in the patient group than the BMI. We therefore suggest using the BMI as the basis for a graded, more-level weight resection standard for reconstructive breast reductions. This algorithm is related solely to objectifying data and thus avoids biases from empirically derived data or hardly quantifiable breast (or obesity)-related pain syndromes, and respects all the different body builds of women.

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“…The aim of this study was to evaluate breast sensation after breast reductions with a superior pedicle technique, one vertical short-scar technique (a central resection without peripheral undermining [8,9]) compared to an inverted-T long-scar technique with a central, a medial, and a lateral resection of the lower poles with limited peripheral undermining [10].…”

Section: Introductionmentioning

confidence: 99%

The effect of superior pedicle breast reductions on breast sensation

et al. 2008

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The aim of this study was to assess nipple, areola and breast skin sensation after breast reductions with two different superior pedicle techniques: a short, vertical scar technique compared to a long, inverted-T scar technique. Thirty-six women with a vertical technique (group I) and ten women with an inverted-T technique (group II) with a resection weight of ≤500 g per breast completed their 1-year follow-up. The four modalities used to evaluate sensation were pressure with Semmes-Weinstein filaments, vibration with a vibrometer, and temperature and pain perception on a qualitative basis. The evaluation revealed that 1-year after breast reduction, the sensation was either reduced, unaltered, or improved in both groups. In the nipple, the mean sensation was markedly reduced throughout all qualities in both groups with the exception of pain, which was enhanced. In the areola, the mean sensation was also reduced in all qualities in both groups. In the quadrants of the skin, mean sensation was improved in terms of pressure and vibration in group I (8.3% normal pressure values preoperatively vs. 70% normal pressure values postoperatively) but reduced in the lower quadrant of the skin in group II with the inverted-T scar. This reduction of pressure was also significant (p=0.04) in comparison with group I. Apart from this difference between the two groups, this study showed that in breast reductions with a superior pedicle technique, the long-scar technique did not lead to a greater reduction of sensation in the nipple and areola than the short-scar technique.

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Modifications in vertical scar breast reduction

Cited by 34 publications

References 30 publications

The Sitting, Oblique, and Supine Marking Technique for Reduction Mammaplasty and Mastopexy

The Sitting, Oblique, and Supine Marking Technique for Reduction Mammaplasty and Mastopexy

A body mass index-related scale for reconstructive breast reduction

The effect of superior pedicle breast reductions on breast sensation

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