Limits...
A New Reduction Mastopexy Design for Young Women: Snowman Pattern.

Cil Y, Kocman AE - World J Plast Surg (2015)

Bottom Line: Patients were followed up for 9-22 months.No serious complications encountered in consecutive patient series.The only complication was permanent wrinkling probably due to vertical closure in 5 of 25 patients which did not resolve during the follow-up period.

View Article: PubMed Central - PubMed

Affiliation: Diyarbakır Military Hospital, Department of Plastic Surgery 21000 Diyarbakır, Turkey;

ABSTRACT

Background: Many young women are satisfied with their large breasts but suffer from sagging due to heaviness. In this article; we present a novel modification of vertical scar breast reduction based on a special indication.

Methods: From January 2006 to May 2012, twenty five individual patients underwent operation using modified technique with superior pedicle and vertical scar. Young women between ages 25-35 years with voluminous breasts who requested mastopexy rather than reduction were selected for the surgery.

Results: The mean patient age was 30 years and body mass index (BMI) was 27.8±1.07 kg/m(2). Mean nipple transposition was 6.5 cm. Mean weight for resected tissue was 415 g for left and 419 g for right breast. Mean operative time was 125 minutes. Patients were followed up for 9-22 months. No serious complications encountered in consecutive patient series. The only complication was permanent wrinkling probably due to vertical closure in 5 of 25 patients which did not resolve during the follow-up period.

Conclusion: We recommend that the Snowman design is a useful tool for superior pedicle breast reduction technique providing good projection and a short scar in selected patients.

No MeSH data available.


Related in: MedlinePlus

Intraoperative views of surgical procedure
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4537602&req=5

Figure 2: Intraoperative views of surgical procedure

Mentions: All surgeries were performed under endotracheal anesthesia. No tumescent solution was administered to the breasts. At the beginning of the operation the new nipple areola complex (NAC) was outlined using a 42 mm diameter areolar marker and incised. The superior pedicle was de-epithelialized between the preoperative markings ,keeping NAC intact. The inferior border of the pedicle was incised down to the prepectoral fascia beyond the thickness of the pedicle. Lateral and medial incisons were made through the breast parenchyma in the same manner. The inferior border was elevated as a 2-3 mm thin flap down to IMF border. The inferior breast parenchyma was resected en bloc within these borders off the prepectoral fascia leaving some loose areolar tissue (Figure 2). The superior pedicle was seperated off the chest wall, creating a pouch 6-8 cm in width, till the new position of NAC, to facilitate upward movement.


A New Reduction Mastopexy Design for Young Women: Snowman Pattern.

Cil Y, Kocman AE - World J Plast Surg (2015)

Intraoperative views of surgical procedure
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537602&req=5

Figure 2: Intraoperative views of surgical procedure
Mentions: All surgeries were performed under endotracheal anesthesia. No tumescent solution was administered to the breasts. At the beginning of the operation the new nipple areola complex (NAC) was outlined using a 42 mm diameter areolar marker and incised. The superior pedicle was de-epithelialized between the preoperative markings ,keeping NAC intact. The inferior border of the pedicle was incised down to the prepectoral fascia beyond the thickness of the pedicle. Lateral and medial incisons were made through the breast parenchyma in the same manner. The inferior border was elevated as a 2-3 mm thin flap down to IMF border. The inferior breast parenchyma was resected en bloc within these borders off the prepectoral fascia leaving some loose areolar tissue (Figure 2). The superior pedicle was seperated off the chest wall, creating a pouch 6-8 cm in width, till the new position of NAC, to facilitate upward movement.

Bottom Line: Patients were followed up for 9-22 months.No serious complications encountered in consecutive patient series.The only complication was permanent wrinkling probably due to vertical closure in 5 of 25 patients which did not resolve during the follow-up period.

View Article: PubMed Central - PubMed

Affiliation: Diyarbakır Military Hospital, Department of Plastic Surgery 21000 Diyarbakır, Turkey;

ABSTRACT

Background: Many young women are satisfied with their large breasts but suffer from sagging due to heaviness. In this article; we present a novel modification of vertical scar breast reduction based on a special indication.

Methods: From January 2006 to May 2012, twenty five individual patients underwent operation using modified technique with superior pedicle and vertical scar. Young women between ages 25-35 years with voluminous breasts who requested mastopexy rather than reduction were selected for the surgery.

Results: The mean patient age was 30 years and body mass index (BMI) was 27.8±1.07 kg/m(2). Mean nipple transposition was 6.5 cm. Mean weight for resected tissue was 415 g for left and 419 g for right breast. Mean operative time was 125 minutes. Patients were followed up for 9-22 months. No serious complications encountered in consecutive patient series. The only complication was permanent wrinkling probably due to vertical closure in 5 of 25 patients which did not resolve during the follow-up period.

Conclusion: We recommend that the Snowman design is a useful tool for superior pedicle breast reduction technique providing good projection and a short scar in selected patients.

No MeSH data available.


Related in: MedlinePlus