Periareolar reduction mammoplasty using an inferior dermal pedicle or a central pedicle
Section snippets
Preoperative design
The patient is marked in the upright position. From the midclavicular point, the breast meridian is outlined along the breast and down on to the chest wall. A circular pattern is drawn around the most anterior projecting portion of the breast by determining four points. The superior point (point A) is determined by placing the fingers under the breast and transposing the location of the inframammary fold to the anterior skin of the breast. This point is supposed to be the position of new
Results
A periareolar reduction mammoplasty was performed on 82 breasts in 41 patients between July 1998 and June 2004. The mean age was 39 and the resection amount ranged from 155 g to 923 g per breast with a mean amount of 389 g and an average follow up of 28 months. Most of the patients were satisfied with their fine periareolar scar, an adequate breast size and the sensation of the nipple-areolar complex (Figure 3, Figure 4). Questionnaires on the degree of satisfaction with their surgery were
Discussion
A periareolar incision was first reported by Noel1 in 1927. Peled et al.2 applied a purse-string suture for the reduction and closure of periareolar wide skin defects and Benelli3 reported the ‘round block’ technique, which is a kind of purse-string suture. Felicio4 divided the mammary gland into four quadrants, superior, inferior, lateral and medial to make a central glandular pedicle. Gose5 used the de-epithelialised periareolar circular flap to fix the glandular tissue and he called it the
References (18)
- et al.
Nipple sensitivity following reduction mammaplasty
Br J Plast Surg
(1970) - et al.
Outcome of reduction mammaplasty – a patients' perspective
Br J Plast Surg
(2000) Methode in Noel in der Modifikation Von Cesary
Aus Bull Sci Med
(1927)- et al.
Purse-string suture for reduction and closure of skin defects
Ann Plast Surg
(1985) A new periareolar mammaplasty: the “round block” technique
Aesthetic Plast Surg
(1990)Periareolar reduction mammaplasty
Plast Reconstr Surg
(1991)Periareolar mammaplasty: double skin technique with application of polyglactine or mixed mesh
Plast Reconstr Surg
(1996)Short scar periareolar inferior pedicle reduction (SPAIR) mammaplasty
Plast Reconstr Surg
(1999)Refinement of the central pedicle breast reduction by application of the ligamentous suspension
Plast Reconstr Surg
(1999)
Cited by (15)
Usefulness of breast-conserving surgery using the round block technique or modified round block technique in Japanese females
2014, Asian Journal of SurgeryCitation Excerpt :However, the reduction mammoplasty technique is often not suitable for Japanese females who have a relatively small-sized breast and do not wish to undergo contralateral breast surgery. RBT1,3–6 is an oncoplastic volume displacement technique in which only perimamillary scars remain visible. This technique is suitable for patients with small-to-medium-sized breasts without any major ptosis who do not require contralateral breast surgery for symmetrization.
Periareolar breast reduction: Goes double-skin technique without mesh. A review of 45 cases
2011, Journal of Plastic, Reconstructive and Aesthetic SurgerySuperior Hemimastectomy with Inferior Pedicle Nipple-Bearing Flap: A Five-Step Surgical Technique
2022, Plastic and Reconstructive SurgerySimplified planning and marking of mastopexy and reduction mammoplasty: The circumvertical "matryoshka" pattern
2021, Revista Brasileira de Cirurgia PlasticaGynecomastia
2020, Plastic and Cosmetic Surgery of the Male BreastEffectiveness of Pessoa’s universal technique for single marking in mastoplasty performed while training plastic surgeons
2019, Revista Brasileira de Cirurgia Plastica