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Abstract
glandular flap is procedure of choice a major limitation of this technique is in sufficient
breast projection, using of lateral based dermo-glandular flap can added additional tissue
to increase projection and good filling.
Methods: Marking based on principle of breast; when excised tissue made, marked for
diamond dermo- glandular flap from breast tissue before to excise then de- epithelized
and fix on pectoral fascia.
Results: 8 cases done by this technique; the depending criteria include major breast
hypertrophy and ptosis more than 1500 g, Nipple -areolar transposition >15 cm; no major
complication just superficial Slugging of nipple areolar graft, that heal spontaneously
with good improvement in symptoms and good breast projection and Shape
Conclusions: using lateral based dermo-glandular flap give good shape and breast
projection and effective in major breast hypertrophy and Ptosis.
Keywords
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References
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- patients. Ann Plast Surg; 64:275-278
- - Karsidag S, Akcal A, Karsidag T, et al. Reduction mammaplasty using the free
- nipp vertical technique for severe breast hypertrophy: improved outcomes with the
- dermaglandular flap. Aesthetic Plast Surg. 2011;35(2):254.-61
- - Ozeruem OR, Anlatici R, Maral T, et al. Modified free nipple graft reduction
- mammaplasty to increase breast projection with superior and inferior dermoglandular
- flaps. Ann Plast 2002;49(5):10-506.
- - Eggert E, Schuss R, Edsander-Nord A. Clinical outcome, quality of life patients'
- satisfaction, and aesthetic results, after reduction mammoplasty. Scand J Plast Reconstr
- Surg Hand Surg. 2009;43(4):201- 6
- - Alexandre A, Leão F, Álvaro F et al. (2011): Comparative analysis of
- mammaplasty techniques based on the long-term effect on MANUSCRIPT CENTRAL
- b the nipple-areolar-complex to inframammary crease distance. Rev. Bras. Cir.
- Plást. 2011; 26(4): 664-9
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- Smith JW (eds) Grabb and Smith's plastic surgery. Wolters Kluwer Health/Lippincott
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- - Fernandez S, Coady L, Cohen-Shohet R, et al. Comparative outcomes and quality
- analysis of inverted-T and pure vertical scar techniques in superomedial pedicle reduction
- mammaplasty. Ann Plast Surg. 2016;76Suppl 4: S328.-31
- - Zhang MX, Chen CY, Fang QQ, et al. Risk factors for complications after
- reduction mammoplasty: A meta-analysis. PLoS One. 2016;11(12): e0167746
- - Zhao R. Qiao Q. Analysis of the complications of two kinds reduction
- mammaplasty, Zhonghua Zheng Xing Wai Ke Za Zhi. 2007;23(5):375-77
References
- Stevens W. Gear A, Stoker D et al. (2008): Outpatient reduction mammoplasty:
an eleven-year experience. Aesth Surg J: 28(2):171-179.
- Serra MP, Longhi P and Sinha M (2010): Breast reduction with a superomedial
pedicle and a vertical scar (Hall-Findlay's technique): Experience with 210 consecutive
patients. Ann Plast Surg; 64:275-278
- Karsidag S, Akcal A, Karsidag T, et al. Reduction mammaplasty using the free
nipp vertical technique for severe breast hypertrophy: improved outcomes with the
dermaglandular flap. Aesthetic Plast Surg. 2011;35(2):254.-61
- Ozeruem OR, Anlatici R, Maral T, et al. Modified free nipple graft reduction
mammaplasty to increase breast projection with superior and inferior dermoglandular
flaps. Ann Plast 2002;49(5):10-506.
- Eggert E, Schuss R, Edsander-Nord A. Clinical outcome, quality of life patients'
satisfaction, and aesthetic results, after reduction mammoplasty. Scand J Plast Reconstr
Surg Hand Surg. 2009;43(4):201- 6
- Alexandre A, Leão F, Álvaro F et al. (2011): Comparative analysis of
mammaplasty techniques based on the long-term effect on MANUSCRIPT CENTRAL
b the nipple-areolar-complex to inframammary crease distance. Rev. Bras. Cir.
Plást. 2011; 26(4): 664-9
- Marshall WR, Notma KR, Camille K. TheUS health system origin and functions
(M). (5th ed). New York, USA: Delmar Thomson Learning. 2002;180.
- Spear SL. Breast reduction: inverted-T technique. In: Thorne C, Grabb WC,
Smith JW (eds) Grabb and Smith's plastic surgery. Wolters Kluwer Health/Lippincott
Williams & Wilkins, Philadelphia, USA. 2007.
- Fernandez S, Coady L, Cohen-Shohet R, et al. Comparative outcomes and quality
analysis of inverted-T and pure vertical scar techniques in superomedial pedicle reduction
mammaplasty. Ann Plast Surg. 2016;76Suppl 4: S328.-31
- Zhang MX, Chen CY, Fang QQ, et al. Risk factors for complications after
reduction mammoplasty: A meta-analysis. PLoS One. 2016;11(12): e0167746
- Zhao R. Qiao Q. Analysis of the complications of two kinds reduction
mammaplasty, Zhonghua Zheng Xing Wai Ke Za Zhi. 2007;23(5):375-77