Four flap suspension technique for prevention of bottoming out after breast reduction

Yüksel Kankaya; Melike Oruç; Nezih Sungur; Özlem Çolak Aslan; Koray Gürsoy; Kadri Özer; Uğur Koçer

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자료유형: 학술저널

저자정보: Yüksel Kankaya (Reconstructive and Aesthetic Surgery Clinic) Melike Oruç (Reconstructive and Aesthetic Surgery Clinic) Nezih Sungur (Reconstructive and Aesthetic Surgery Clinic) Özlem Çolak Aslan (Reconstructive and Aesthetic Surgery Clinic) Koray Gürsoy (Reconstructive and Aesthetic Surgery Clinic) Kadri Özer (Reconstructive and Aesthetic Surgery Clinic) Uğur Koçer (Reconstructive and Aesthetic Surgery Clinic)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.1

발행연도: 2015.12

수록면: 10 - 15 (6page)

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Purpose: Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an internal bra effect through combination of inferior pedicle technique with 2 superior and 2 inferior dermal flaps that were raised from each side of the pedicle.
Methods: Thirteen patients whose medical records became available during the follow-up period at Ankara Training and Research Hospital from January 2010 to January 2015 were included in this study. We retrospectively obtained patient medical records including demographic characteristics and clinical data. Superior dermal flaps were planned on both sides of the pedicle 2 cm inferior to the lower border of areola and inferior dermal flaps were planned 6 cm inferior to the superior dermal flaps. The superior and inferior dermal flaps were secured to the periosteum of the 2nd and 4th ribs respectively with permanent sutures.
Results: Preoperatively, the average distance between the inframammary fold and areola was 13.9 cm (range, 11–18 cm). The average amount of breast parenchymal resection was 745 g (range, 612–1,496 g). The average distance between the inframammary fold and the lower border of the areola was 7.9 cm (range, 7.5–9 cm) on the postoperative first-year measurements.
Conclusion: In conclusion, according to our study, suspension technique to prevent bottoming-out deformity is associated with an easier technique without the need for alloplastic or allogenic materials. Since fixation is performed to the ribs instead of soft tissues like the pectoral fascia or muscle, we believe that this fixation is more long lasting and can be an effective alternative to other suspension techniques.

#Mammaplasty #Breast reduction #Flap #Suspension

참고문헌 (30)

참고문헌 신청

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[학술지(정기간행물)] - Min Jeng Cho / 2015 / An idiopathic gigantomastia / 대한외과학회지 88 (3) : 166 ~ 169

[학술지(정기간행물)] - Echo A. / 2011 / The dermal suspension sling : shaping the inferior pedicle during breast reduction / Aesthetic Plast Surg 35 : 608 ~ 616

[학술지(정기간행물)] - Davis GM. / 1995 / Reduction mammaplasty : long-term efficacy, morbidity, and patient satisfaction / Plast Reconstr Surg 96 : 1106 ~ 1110

[학술지(정기간행물)] - Dabbah A. / 1995 / Reduction mammaplasty : an outcome analysis / Ann Plast Surg 35 : 337 ~ 341

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