Introduction
Material and Methods
Literature Search
Inclusion and Exclusion Criteria
Data Extraction and Quality Assessment
Statistical Analysis
Authors | Patients | Age | Surgical technique | Complications | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HE | SE | OR | UR | HH | WD | IN | PS | AS | IS | NN | RR | Total | ||||
Courtiss et al. [4] | 101 | 16-61 | SURGICAL EXCISION (hemiperiareolar) | 31 | 18 | 36 | 42 | 21 | 0 | 0 | 36 | 0 | 0 | 0 | 0 | 184 |
20 | LIPOSUCTION | 0 | 2 | 0 | 3 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | ||
38 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 4 | 5 | 0 | 2 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 20 | ||
Aiache et al. [5] | 38 | NR | SURGICAL EXCISION (hemiperiareolar) | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 |
Ward et al. [6] | 6 | NR | SURGICAL EXCISION (horizontal ellipse with vertical pedicle) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Varma et al. [7] | 20 | 23.5 | SURGICAL EXCISION (hemiperiareolar) | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 |
Apesos et al. [8] | 4 | NR | LIPOSUCTION | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
2 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Stark et al. [9] | 14 | 16-34 | LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
9 | SURGICAL EXCISION + LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Brenner et al. [10] | 44 | NR | SURGICAL EXCISION (37 hemiperiareolar and 7 transverse) | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 6 |
Abramo et al. [11] | 10 | NR | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Samdal et al. [12] | 3 | 16-69 | SURGICAL EXCISION (hemiperiareolar) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
33 | SURGICAL EXCISION (hemiperi- or circumareolar)+ LIPOSUCTION | 2 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | ||
31 | LIPOSUCTION | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 7 | ||
Morselli et al. [13] | 11 | NR | SURGICAL EXCISION (pull-trough) + LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Aiache et al. [14] | 18 | 24-46 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Peters et al. [15] | 11 | 13-18 | SURGICAL EXCISION (bipedicled flap) | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 4 |
Hamas et al. [16] | 31 | 12-67 | SURGICAL EXCISION (hemiperiareolar)+ sharp cutting LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
57 | Sharp cutting LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 4 | ||
Smoot 3rd et al. [17] | 20 | NR | Purse-string SURGICAL EXCISION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 |
Colombo-Benkmann et al. [18] | 81 | 15-78 | SURGICAL EXCISION (73 hemiperiareolar, 4 circumareolar, 4 submammary) | 15 | 0 | 0 | 0 | 17 | 0 | 0 | 60 | 0 | 8 | 0 | 9 | 109 |
Gasperoni et al. [19] | 64 | 16-62 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 1 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 |
Javaid et al. [20] | 4 | NR | SURGICAL EXCISION (transareolar) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
Babigian et al. [21] | 2 | NR | SURGICAL EXCISION (hemiperiareolar) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
18 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 2 | 1 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 | ||
Persichetti et al. [22] | 28 | 16-33 | SURGICAL EXCISION (circumareolar) | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 3 |
Coskun et al. [23] | 32 | 20-36 | SURGICAL EXCISION (hemiperiareolar, in 10 cases extended) | 7 | 0 | 0 | 0 | 1 | 0 | 0 | 9 | 0 | 3 | 1 | 0 | 21 |
Rohrich et al. [24] | 61 | NR | UAL or LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | 12 |
Boljanovic et al. [25] | 3 | NR | LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
25 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | ||
Fruhstorfer et al. [26] | 31 | 13-57 | 31 UAL, SAL or LIPOSUCTION | 0 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 7 |
16 | SURGICAL EXCISION + LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | ||
1 | SURGICAL EXCISION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Hammond et al. [27] | 15 | 12-69 | SURGICAL EXCISION (pull-through)+ LIPOSUCTION | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 3 |
Iwuagwu et al. [28] | 5 | 16-88 | SURGICAL EXCISION (mammotome) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tashkandi et al. [29] | 24 | NR | SURGICAL EXCISION (purse-string) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Walden et al. [30] | 12 | 25 | LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
6 | SURGICAL EXCISION (hemiperiareolar) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
16 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | ||
Gabra et al. [31] | 39 | 9.5-17 | SURGICAL EXCISION (circumareolar) | 3 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 3 | 1 | 0 | 1 | 11 |
Bracaglia et al. [32] | 45 | 21-65 | SURGICAL EXCISION (pull-through) + LIPOSUCTION | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 4 |
Celebioglu et al. [33] | 9 | 15-21 | SURGICAL EXCISION (circumareolar with subareolar glandular pedicle) | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 12 |
Aslan et al. [34] | 15 | NR | SURGICAL EXCISION (periareolar–transareolar) | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
Prado et al. [35] | 25 | 17-38 | CARTILAGE SHAVER + LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hodgson et al. [36] | 31 | 16-57 | UAL | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 2 |
Ramon et al. [37] | 17 | 17-39 | SURGICAL EXCISION (endoscopic pull-through) + LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Boni et al. [38] | 38 | 23-64 | LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Yavuz et al. [39] | 5 | 18-24 | Transaxillary SURGICAL EXCISION (Lighted Retractor-Assisted) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Haddad Filho et al. [40] | 12 | 15-26 | SURGICAL EXCISION (circumareolar) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Mentz et al. [41] | 200 | 13-78 | SURGICAL EXCISION (single puncture) + LIPOSUCTION | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 5 |
Esme et al. [42] | 28 | 17-80 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Lista et al. [43] | 96 | 17-46 | SURGICAL EXCISION (pull-through) + LIPOSUCTION | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
Zhu et al. [44] | 2 | 24-25 | Endoscopically assisted SURGICAL EXCISION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Gheita et al. [45] | 8 | NR | SURGICAL EXCISION (Horizontal excision ellipse and superior pedicle flap) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Lanitis et al. [46] | 102 | 11-82 | SURGICAL EXCISION (56 circumareolar, 20 Inframammary fold, 10 concentric circumareolar, 12 inverted ‘‘T’’ reduction mastopexy, 4 extended circumareolar incision) | 9 | 31 | 0 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 43 |
Cannistra et al. [47] | 58 | NR | SURGICAL EXCISION (Periareolar Incision and Dermal Double Areolar Pedicle) + SURGICAL EXCISION | 0 | 0 | 0 | 0 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 |
Goh et al. [48] | 8 | NR | SURGICAL EXCISION (microdebrider) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 2 |
Tu et al. [49] | 22 | 13-63 | SURGICAL EXCISION (periareolar zig-zag incision) + SURGICAL EXCISION | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Scuderi et al. [50] | 23 | 16-39 | SURGICAL EXCISION (transareolar) + Power-assisted LIPOSUCTION | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 4 |
Fan et al. [51] | 65 | 14-28 | Endoscopically assisted SURGICAL EXCISION | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 3 |
Benito-Ruiz et al. [52] | 40 | 19-57 | CARTILAGE SHAVER + LIPOSUCTION | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 3 | 8 |
Rho et al. [53] | 5 | 30-33 | LASER LIPOLYSIS | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Laituri et al. [54] | 20 | 14-18 | SURGICAL EXCISION (circumareolar or inferior pedicle reduction) | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Petty et al. [55] | 45 | 11-77 | SURGICAL EXCISION | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 3 | 6 |
56 | SURGICAL EXCISION + LIPOSUCTION | 2 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 | 12 | ||
50 | LIPOSUCTION | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 6 | ||
76 | CARTILAGE SHAVER + LIPOSUCTION | 1 | 2 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 4 | 9 | ||
El Noamani et al. [56] | 15 | 22-30 | SURGICAL EXCISION (inferior pedicle without vertical scar) | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 3 | 0 | 0 | 1 | 0 | 5 |
Qutob et al. [57] | 36 | 16-88 | SURGICAL EXCISION (mammotome) + LIPOSUCTION | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 4 |
Cigna et al. [58] | 37 | 18-43 | SURGICAL EXCISION (hemiperiareolar) + Power-assisted LIPOSUCTION | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
He et al. [59] | 20 | 18-47 | SURGICAL EXCISION (mammotome) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Jarrar et al. [60] | 1 | 18-44 | Endoscopically assisted SURGICAL EXCISION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
7 | Endoscopically assisted SURGICAL EXCISION + LIPOSUCTION | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | ||
4 | LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Morselli et al. [61] | 260 | 10-59 | SURGICAL EXCISION (pull-through) + LIPOSUCTION | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | 0 | 12 | 0 | 24 | 57 |
Trelles et al. [62] | 28 | 24-56 | LASER LIPOLYSIS | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Zampieri et al. [63] | 5 | NR | SURGICAL EXCISION (circumareolar) | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
Lee et al. [64] | 15 | 13-55 | CARTILAGE SHAVER + LIPOSUCTION | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 4 |
Cao et al. [65] | 58 | 17-52 | Endoscopically assisted SURGICAL EXCISION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 3 |
Hosnuter et al. [66] | 23 | 15-42 | SURGICAL EXCISION (superior periareolar) + LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Kasielska et al. [67] | 113 | 17-54 | SURGICAL EXCISION (94 circumareolar; 9 skin excision mastectomy; 6 inverted-T reduction mastopexy with NAC transposition; 4 inframammary fold approach with NAC graft ) | 8 | 4 | 0 | 0 | 11 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 25 |
Song et al. [68] | 402 | 17-82 | 215 Periareolar incision, 97 complete concentric periareolar, 45 Inframammary fold incision, 26 Inverted-T incision, 53 Mammotome excision | 7 | 10 | 0 | 0 | 2 | 0 | 0 | 10 | 0 | 0 | 9 | 6 | 44 |
331 | 15-73 | 145 LIPOSUCTION, 241 UAL | 4 | 7 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 39 | |
Blau et al. [69] | 1073 | 18-51 | SURGICAL EXCISION (hemiperiareolar) | 64 | 128 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 192 |
Yoo et al. [70] | 13 | 20-28 | 1,444-nm Nd:YAG LAL | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Schroder et al. [71] | 53 | 13-66 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 4 |
Ibrahiem et al. [72] | 27 | 18-53 | SURGICAL EXCISION (circumareolar with superior pedicle) + UAL | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 5 | 0 | 0 | 1 | 0 | 8 |
El-Sabbagh et al. [73] | 18 | 13-33 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 3 |
Shirol et al. [74] | 20 | 16-36 | SURGICAL EXCISION (orange pell hemiperiareolar)+ LIPOSUCTION | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Bailey et al. [75] | 75 | NR | SURGICAL EXCISION (pull-through) + Power-assisted LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Kim et al. [76] | 16 | 18-30 | LIPOSUCTION | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
48 | SURGICAL EXCISION (hemi- or circumareolar)+ LIPOSUCTION | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 3 | ||
Innocenti et al. [77] | 312 | 18-52 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 4 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 47 | 0 | 3 | 60 |
Taheri et al. [78] | 27 | 17-36 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 1 | 1 | 0 | 4 | 0 | 15 |
Khalil et al. [79] | 52 | 26.9 | SURGICAL EXCISION (pull-through) + LIPOSUCTION | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 11 |
Sönmez Ergün et al. [80] | 25 | 18-33 | 980 nm LASER LIPOLYSIS | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 6 |
Thienot et al. [81] | 9 | 19-67 | SURGICAL EXCISION (Postero-Inferior Pedicle) + LIPOSUCTION | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 3 |
Choi et al. [82] | 71 | 16-18 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 2 | 3 | 0 | 0 | 4 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 11 |
Ozalp et al. [83] | 21 | 19-34 | SAL | 3 | 2 | 4 | 0 | 8 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 18 |
Lee et al. [84] | 30 | 13-56 | Cutting edge tip cannula + Power-assisted LIPOSUCTION | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
10 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Wyrick et al. [85] | 52 | 23-73 | SURGICAL EXCISION (hemi- or circumareolar)+ LIPOSUCTION | 2 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 |
Abdelrahman et al. [86] | 18 | 28-34 | LIPOSUCTION | 0 | 0 | 0 | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 3 |
Tarallo et al. [87] | 15 | 18-28 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Yao et al. [88] | 22 | 15-45 | SURGICAL EXCISION (Vacuum-assisted) | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 3 |
Mohamad Hasan et al. [89] | 150 | NR | SURGICAL EXCISION (hemiperiareolar or Benelli) | 40 | 29 | 0 | 0 | 24 | 8 | 0 | 2 | 0 | 0 | 15 | 0 | 118 |
Sim et al. [90] | 101 | 26 | SURGICAL EXCISION (microdebrider) + LIPOSUCTION | 7 | 0 | 0 | 18 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 28 |
31 | 27 | LIPOSUCTION | 3 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | |
21 | 30 | SURGICAL EXCISION (circumareolar) | 4 | 0 | 0 | 6 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 11 | |
18 | 25 | SURGICAL EXCISION (circumareolar) + LIPOSUCTION | 4 | 0 | 0 | 4 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 9 | |
Murugesan et al. [91] | 149 | 19-57 | SURGICAL EXCISION (pull-through) + LIPOSUCTION | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
Akhtar et al. [92] | 30 | 17-38 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8 | 2 | 0 | 0 | 12 |
30 | SURGICAL EXCISION (arthroscopic shaver) + LIPOSUCTION | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 2 | 2 | 0 | 17 | ||
Tripathy et al. [93] | 10 | 21-30 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
10 | SURGICAL EXCISION (pull-through) + LIPOSUCTION | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Harinatha et al. [94] | 1159 | NR | SURGICAL EXCISION (superior pedicle) + LIPOSUCTION | 27 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 7 | 0 | 0 | 0 | 66 |
Jian et al. [95] | 12 | 19-40 | Endoscopically assisted SURGICAL EXCISION | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Qu et al. [96] | 56 | NR | SURGICAL EXCISION (periareolar or inframammary fold) | 1 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 |
26 | Vacuum-assisted SURGICAL EXCISION | 3 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | ||
Pfeiler et al. [97] | 34 | NR | SURGICAL EXCISION (hemiperiareolar) | 8 | 1 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 11 |
21 | SURGICAL EXCISION (hemiperiareolar)+ LIPOSUCTION | 3 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 5 |
Results
-
Aspiration techniques, consisting in 874 patients (11,98%)
-
Surgical excision techniques, consisting in 2764 patients (37,90%)
-
Combined techniques, consisting in 3656 patients (50,12%)
Technique | No. | Complications | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Hematoma | Seroma | Over-resection | Under-resection | Hypo- or Hyperesthesia | Wound dehiscence | Infection | Pathological scar | Asymmetries | Irregularities or redundant skin | NAC necrosis (partial or total)/abrasion | Revision/ recurrence | Total | ||
Aspiration | 874 | 11 | 15 | 4 | 25 | 40 | 0 | 1 | 0 | 4 | 3 | 1 | 26 | 130 |
Traditional Liposuction | 241 | 4 | 3 | 0 | 22 | 5 | 0 | 1 | 0 | 0 | 0 | 0 | 6 | 41 |
Ultrasound-Assisted Liposuction | 31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 2 |
Suction-Assisted Liposuction | 21 | 3 | 2 | 4 | 0 | 8 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 18 |
Laser Lipolysis | 71 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 6 |
Sharp cutting Liposuction | 57 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 4 |
Mixed techniques | 453 | 4 | 8 | 0 | 3 | 27 | 0 | 0 | 0 | 0 | 2 | 0 | 15 | 59 |
Surgical Exicision | 2764 | 213 | 230 | 36 | 49 | 97 | 13 | 6 | 130 | 3 | 13 | 35 | 22 | 847 |
Open excision | 2540 | 208 | 229 | 36 | 49 | 93 | 13 | 6 | 129 | 3 | 12 | 29 | 22 | 829 |
Endoscopically assisted | 138 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 7 |
Transaxillary excision | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Microdebrider | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 2 |
Vacuum-assisted/mammotome | 73 | 5 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 9 |
Combined techniques | 3656 | 98 | 34 | 4 | 35 | 32 | 35 | 3 | 42 | 29 | 64 | 16 | 38 | 430 |
Open excision and Liposuction/UAL/PAL | 2396 | 66 | 28 | 3 | 14 | 21 | 35 | 2 | 22 | 16 | 49 | 8 | 9 | 273 |
Pull-trough and Liposuction | 713 | 12 | 3 | 0 | 1 | 11 | 0 | 0 | 14 | 0 | 12 | 0 | 27 | 80 |
Fragmentation and Liposuction | 301 | 9 | 0 | 0 | 20 | 0 | 0 | 0 | 3 | 0 | 1 | 0 | 0 | 33 |
Cartilage shaver and Liposuction | 186 | 8 | 2 | 1 | 0 | 0 | 0 | 0 | 3 | 13 | 2 | 7 | 2 | 38 |
Endoscopic adenectomy and Liposuction | 24 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
Suction-Assisted excision and Liposuction | 36 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 4 |
Total | 7294 | 322 | 279 | 44 | 109 | 169 | 48 | 10 | 172 | 36 | 80 | 52 | 86 | 1407 |
PERCENTAGE | ||||||||||||||
Aspiration | 11,98 | 3,42 | 5,38 | 9,10 | 22,94 | 23,67 | 0,00 | 10,00 | 0,00 | 11,11 | 3,75 | 1,92 | 30,23 | 9,24 |
Surgical Exicision | 37,90 | 66,15 | 82,44 | 81,81 | 44,95 | 57,40 | 27,08 | 60,00 | 75,58 | 8,33 | 16,25 | 67,31 | 25,58 | 60,20 |
Combined techniques | 50,12 | 30,43 | 12,18 | 9,09 | 32,11 | 18,93 | 72,92 | 30,00 | 24,42 | 80,56 | 80,00 | 30,77 | 44,19 | 30,56 |