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Erschienen in:
27.03.2023 | Original Paper
A modified owl technique for breast reduction
Erschienen in: European Journal of Plastic Surgery | Ausgabe 5/2023
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Background
Macromastia is
the abnormal enlargement of the female breast, which causes physical and psychological stress for women’s health. Reduction mammoplasty is the only definite treatment of macromastia; several studies document its positive impact on women’s physical, social, and intimate well-being. The Wise pattern skin technique is a popularized technique among plastic surgeons for all varieties and sizes of breast reductions. However, this technique poses some drawbacks: lack of projection, reduced upper pole fullness, and late bottoming. The introduction of the vertical scar reduction mammaplasty increases the level of patients’ expectations and satisfaction. Many plastic surgeons tried several modifications of the vertical scar technique to eliminate its two common disadvantages: excessive lower pole length and double bubble appearance.
Methods
A retrospective study was conducted for 139 female patients between the years 2016 and 2020 who underwent a modified owl technique reduction mammaplasty, analyzing patients and operative data to identify the relationship between the modifications of the adopted technique, complication rate, and patients’ satisfaction.
Results
Mean follow-up was 17 months. Mean age for all patients was 34 years (range between 19 and 59 years). Early complications such as hematoma and seroma occurred in 4 patients. No total or partial nipple‐areola complex losses were recorded.
Conclusions
The modified owl technique herein presented seems a safe alternative for reduction mammaplasty in moderate macromastia and in selected cases of severe macromastia, where breast fullness is concentrated in the lower pole.
Level of evidence: Level IV, therapeutic study