Document Detail

Meridian pedicle-based breast shaping in reduction mammaplasty: a technical modification.
MedLine Citation:
PMID:  23381652     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We present a technical modification of vertical reduction mammaplasty which provides a reliable pedicle that can be used in large and highly ptotic breasts with confidence when compared to vertical mammaplasty techniques without sacrificing conical breast shape and projection, in contrast to Wise pattern reduction techniques.
METHODS: Thirty-two patients under general anesthesia were operated on using this modification between 2008 and 2012. The surgical technique is as follows: after general anesthesia induction and local anesthetic infiltration, skin incisions are made according to preoperative drawings. The breast meridian is prepared by superior and inferior plication of the vertical pedicle, including two dermal and one central attachment to the chest wall. Lateral and medial tissue resections are performed, thus preparing medial and lateral pillars after skin undermining. The pillars are sutured to the meridian to reconstruct a projectile conical breast shape. Inverted-T scar (87.5%, n=28) and vertical scar (12.5%, n=4) were used for closure.
RESULTS: All patients were satisfied with the outcome regarding breast projection, shape, and size at 12 (n=30) and 24 months (n=15) after surgery except for 12 cases that needed reoperations: 2 cases for bottoming out and lower pole deformity, 2 cases needed more reduction by liposuction or re-excision, and 8 scar revisions.
CONCLUSION: Early and late results (up to 2 years) regarding breast shape and projection were found to be satisfactory while providing a reliable pedicle with less postoperative drainage.
LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors .
Ilker Yazici; Unsal Demir; Sevin Fariz; Altughan Cahit Vural; Esen Ibrahim Karakaya; Tarik Cavusoglu; Ibrahim Vargel
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2013-02-05
Journal Detail:
Title:  Aesthetic plastic surgery     Volume:  37     ISSN:  1432-5241     ISO Abbreviation:  Aesthetic Plast Surg     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-26     Completed Date:  2013-09-19     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  7701756     Medline TA:  Aesthetic Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  372-9     Citation Subset:  IM    
Department of Plastic Reconstructive and Aesthetic Surgery, Kirikkale University School of Medicine, Kirikkale, Turkey.
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MeSH Terms
Breast / pathology,  surgery*
Cicatrix / prevention & control
Cohort Studies
Follow-Up Studies
Hypertrophy / surgery
Mammaplasty / methods*
Middle Aged
Nipples / surgery
Preoperative Care / methods
Retrospective Studies
Surgical Flaps / blood supply*
Suture Techniques*
Treatment Outcome
Wound Healing / physiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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