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

Fahmy, Fahmy S.; Hemington-Gorse, Sarah

doi:10.1097/01.prs.0000218281.21465.66

Cited by 8 publications

(4 citation statements)

References 11 publications

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“…Mammary hypertrophy and ptosis can be treated with many surgical techniques. These different techniques can lead to acceptable postoperative breast shape and symmetry (3,9). Surgeons have asserted that the preferred surgical technique should be based on the plastic surgeon's experience.…”

Section: Discussionmentioning

confidence: 99%

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Keyhole Pattern for Preoperative Marking for Reduction Mammaplasty

Barbosa

Nahas

Sabia³

et al. 2010

Canadian Journal of Plastic Surgery

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BACKGROUND There are many techniques used for reduction mammaplasty; however, the most frequently performed procedures result in an inverted T scar. Preoperative marking is an important step for the success of the procedure, especially for surgeons at the initial learning stage. However, there is no consensus regarding the best method. In 1981, Strömbeck designed a pattern for preoperative marking for reduction mammaplasty. This pattern provides stable parameters that promotes an acceptable symmetry marking. OBJECTIVE To evaluate the use of the Strömbeck pattern for preoperative marking for reduction mammaplasty. METHODS Fifty-seven patients who underwent reduction mammaplasty between April 2006 and April 2007 were prospectively evaluated. Patient ages ranged from 17 to 61 years; the mean body mass index was 22.2 kg/m2. After defining the standard landmarks of the breast, preoperative markings were made using the Strömbeck pattern. Breast reduction surgery was performed under local anesthesia with sedation. Postoperative results were evaluated according to a numerical visual analogue scale, at the seven-, 15-and 30-day follow-up periods. The Student's t test and the Kruskal-Wallis test were used for statistical analysis (P<0.05). RESULTS The mean weight of resected breast tissue was 317.5 g for the right breast and 305.8 g for the left breast (P=0.17). Scores obtained using a visual analogue scale showed a progressive increase in the scores during the postoperative follow-up period (P<0.0001). CONCLUSION The use of the Strömbeck pattern enabled surgeons to perform reduction mammaplasty with good postoperative results as seen in the follow-up periods.

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Section: Discussionmentioning

confidence: 99%

“…Surgical marking could be performed in different manners. Many plastic surgeons support free-hand marking because it does not involve rigid parameters (3). Others have used templates, rulers, goniometers and keyholeshaped patterns for preoperative marking.…”

Section: Discussionmentioning

confidence: 99%

Keyhole Pattern for Preoperative Marking for Reduction Mammaplasty

Barbosa

Nahas

Sabia³

et al. 2010

Canadian Journal of Plastic Surgery

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“…In the inverted-T approach, preoperative planning does not differ from that classically described by various authors. 19,20…”

Section: Methodsmentioning

confidence: 99%

“…In the inverted-T approach, preoperative planning does not differ from that classically described by various authors. 19,20 Following the above rules, in both cases, the midline, the position of the original inframammary fold and the meridians of the two breasts (which, at the inframammary fold level, are normally 11 to 13 cm from the midline, depending on the chest circumference), is traced. The next step involves demarcating the peripheral incisions of the new areola.…”

Section: Surgical Technique Preoperative Planningmentioning

confidence: 99%

Liporeduction: A Faster and Safer Breast Remodeling Technique

Auersvald

Botti

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Breast reduction is a time-consuming procedure with a relatively high complication rate. Furthermore, recurrent breast enlargement can occur in case of postoperative weight gain. The authors describe a breast reduction technique based on liposuction, followed mostly by skin resection alone, which makes this operation easier, faster, and safer, with more stable results. Methods: Two hundred thirty-three patients were treated by breast liporeduction between 2006 and 2017, with an age range of 18 to 70 years (average age, 42 years). The patients were selected after careful clinical and instrumental assessment among those in whose breasts the fat component was prevalent over the gland. Most of the soft-tissue reduction consisted of fat aspiration. The follow-up ranged from 12 months to 9 years (average, 4.5 years). Results:The results of this study have been extremely satisfactory. Most of the patients healed uneventfully and were happy with the final outcome. Very few complications were encountered, among which were small steatonecroses and partial nipple-areola complex necroses. Conclusions: For the past 15 years, all four authors have preferred this breast reduction technique over others. Fat only is selectively removed by aspiration with a blunt cannula, sparing the vascular network and easily mobilizing the nipple-areola complex. Liporeduction provides a good stable result because any postoperative weight variation will not change the volume of a breast consisting mainly of glandular and fibrous tissue.

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