Reduction Mammoplasty Based on Superomedial Flap
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: Superomedial pedicle reduction mammoplasties based on horizontal septum have been performed for the last two years. Although a multitude of techniques exist for the purposes of reduction mammoplasty, this technique of preserving the horizontal septum is a relatively new one, with promising results. This study aims to shed light on the clinical efficacy of this technique. Methods: This study reduction mammoplasty procedures conducted at different centers over the period of two years from Jan 2014 to Dec 15. A total of 14 patients and 28 breasts, all of which underwent superomedial pedicle reduction mammoplasties with of horizontal septum were retrospectively analyzed. The mean follow up duration was 6.2 months. Preoperative and postoperative measurements, resection weight, postoperative complications and patient satisfaction were all taken into consideration. Results: The average elevation of the NAC was 9.1cm in left breast and 9.5cm in right breast. Average resection weight was 548 grams. Complications were rare. Complete or partial necrosis of the areola, decrease or loss of NAC sensitivity, seroma formation, or scar hypertrophy was not encountered. 10.71% of breasts developed superficial wound dehiscence, 7.14% of breasts had postoperative hematoma not requiring surgical intervention, while 3.57 % showed signs of areola widening. Overall, 92.85% of the patients were satisfied with the procedure, with 57.14% being extremely satisfied. Conclusion: A horizontal septum is consistently present in all breasts, carrying with it a network of blood vessels and nerves from the chest wall to the nipple. Reduction mammoplasties based on this septum are safe and reliable, with excellent aesthetic and functional results, even with large resection weights. This technique has the potential of reducing the number of complications, preserving postoperative NAC sensitivity and decreasing postoperative areola necrosis.
Authors and Affiliations
Surendra Jung Basnet, Suyog Mainali
Keywords
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- EP ID EP534364
- DOI 10.21276/ijmrp.2018.4.4.036
- Views 59
- Downloads 0
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