Superior pedicle breast reduction for hypertrophy with massive ptosis.

Détails

ID Serval
serval:BIB_F0EB8919AA32
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Superior pedicle breast reduction for hypertrophy with massive ptosis.
Périodique
Journal of Plastic, Reconstructive and Aesthetic Surgery
Auteur(s)
Wettstein R., Christofides E., Pittet B., Psaras G., Harder Y.
ISSN
1878-0539 (Electronic)
ISSN-L
1748-6815
Statut éditorial
Publié
Date de publication
2011
Volume
64
Numéro
4
Pages
500-507
Langue
anglais
Résumé
Breast hypertrophy, combined with massive ptosis with a suprasternal notch-to-nipple distance of more than 40 cm, remains an endeavour. Different refinements of the initial technique with free nipple grafts have been described to circumvent the problems of nipple underprojection, areolar hypopigmentation and loss of sensibility secondary to nipple grafting, as well as lacking breast projection due to scarce glandular tissue. Techniques relying on nipple areola complex transposition, rather than grafting, have been described with inferior, superomedial and medial pedicles. The aim of this study is to present the results obtained in a series of 10 patients suffering from bilateral breast hypertrophy with massive ptosis, which was defined as a distance >40 cm from the suprasternal notch-to the nipple. All breasts were managed with a superior pedicle and inverted T technique. The mean preoperative suprasternal notch-to-nipple distance was 44 ± 2 cm, and the resection weight ranged from 800 to 2490 g per breast with an average of about 1450 g in this patient population presenting with overweight or obesity. With a mean nipple areola complex (NAC) lift of 20 ± 3 cm, neither nipple nor areola necrosis was observed. One partial epidermolysis of the areola and two cases of delayed wound healing at the trifurcation point of the inverted T were conservatively managed. Only one re-operation was necessary for an important wound dehiscence of the lateral part of the horizontal scar. These results underscore the safety of the superior pedicle technique in cases of massive ptosis with transposition of the NAC of approximately 20 cm, that is, a pedicle length of about 25 cm.
Pubmed
Web of science
Création de la notice
26/04/2011 15:32
Dernière modification de la notice
03/03/2018 22:37
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