Erschienen in:
01.09.2008 | Discussion
The Bivectorial Full-Thickness Superiorly Based NAC Flap: A New Option to Increase Plasticity and Decrease Tension in the Superior Pedicle Vertical Mammaplasty Technique
verfasst von:
Jennifer L. Walden
Erschienen in:
Aesthetic Plastic Surgery
|
Ausgabe 5/2008
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Excerpt
O’Dey et al. [
1] describe a superiorly based pedicle for a vertical mammaplasty with bisection of the pedicle for increased superior pole fullness. The superiorly based vertical mammaplasty was described originally by Lassus [
2], modified by Lejour et al. [
3], and elaborated upon by Hall-Findlay [
4]. The main technical variation that O’Dey et al. describe is a horizontal bisection of the superior pedicle to provide a layer of tissue to fold under and tack through the pectoralis muscle to the second or third rib periosteum. The bisected flap offers a twofold purported advantage: (1) to anteriorly displace the more superficial layer of the bisected flap for increased projection and superior pole fullness, and (2) to relieve tension and inferior pull upon closure of the vertical incision on the raised nipple-areola complex. …