The rationale of the method of reductional mastopexia for prevention of the postpaparative volume asymmetry of breast
Journal Title: Хірургія України - Year 2018, Vol 0, Issue 4
Abstract
The aim — to define mechanisms of formation of secondary relative volumetric breast asymmetry after reductional mammoplasty and to develop a method of its prevention. Materials and methods. In a prospective study, 118 women aged 24 years to 57 years (on average 37.5 ± 0.7 years) were treated by WISE method in the period from 2012 to 2017 in LLC Clinic of Plastic Cosmetic Surgery in Poltava. The comparison group (group C) consisted of the patient, who performed reductional mastopexy (RMP) with the same volume of tissue reduction in both breasts; the main group (group M) — with different volume of tissue reduction in both breasts, which was calculated depending on the base‑line absolute volumetric breast asymmetry (AVBA). The volume of breast in pre‑and postoperative periods was determined by the author’s method. AOAMZ and VOAMZ were evaluated. The analysis of the data obtained was performed using discrete statistics, the comparison of mean values of variables using the Man‑Whitney U‑criterion and the comparison of the particle variables using the Pearson Hi‑squared. The calculations were made using the IBM SPSS Statistics 22 software. Results and discussion. In the patients of group P after RMP, the average value of AVBA remained stable, while an increasement in the value of relative volumetric breast asymmetry (RVBA) was noted in average values from 14.9 ± 0.8 % to 17.5 ± 1.1 %, and in the group of patients with RVBA indicators, which exceed the norm: 21.8 % vs. 5.5 %, p = 0.012. The increasement in the value of RVBA was associated with a decreasement in the volume of breast. Removal of bigger portion of larger breast in comparison with smaller breast, based on preoperative AVBA in patients in group M allowed to reduce the RVBA index from 13.6 ± 0.7 % to 2.9 ± 0.3 % (from 0 % to 8, 3 %). Conclusions. After RMP with the removal of equal volumes of tissue in both breasts, the AVBA remains constant, and RVBA increases and in 21.8 % of patients exceeds the population norm. Removal of larger portion of breast in comparison with smaller breast, based on preoperative RVBA, allows to reduce the pre‑surgery RVBA and to avoid its values higher than the popular norm.
Authors and Affiliations
V. G. Mishalov, M. I. Slyusarev, I. Yu. Slyusarev, L. Yu. Markulan
Keywords
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- EP ID EP452031
- DOI 10.30978/SU2018-4-39
- Views 125
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