Meridian Pedicle-Based Breast Shaping in Reduction Mammaplasty: A Technical Modification

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dc.contributor.authorYazıcı, Ilker
dc.contributor.authorDemir, Ünsal
dc.contributor.authorFariz, Sevin
dc.contributor.authorVural, Altughan Cahit
dc.contributor.authorKarakaya, Esen İbrahim
dc.contributor.authorCavuşoğlu, Tarık
dc.contributor.authorVargel, İbrahim
dc.date.accessioned2020-06-25T18:07:22Z
dc.date.available2020-06-25T18:07:22Z
dc.date.issued2013
dc.departmentKırıkkale Üniversitesi
dc.description.abstractWe present a technical modification of vertical reduction mammaplasty which provides a reliable pedicle that can be used in large and highly ptotic breasts with confidence when compared to vertical mammaplasty techniques without sacrificing conical breast shape and projection, in contrast to Wise pattern reduction techniques. Thirty-two patients under general anesthesia were operated on using this modification between 2008 and 2012. The surgical technique is as follows: after general anesthesia induction and local anesthetic infiltration, skin incisions are made according to preoperative drawings. The breast meridian is prepared by superior and inferior plication of the vertical pedicle, including two dermal and one central attachment to the chest wall. Lateral and medial tissue resections are performed, thus preparing medial and lateral pillars after skin undermining. The pillars are sutured to the meridian to reconstruct a projectile conical breast shape. Inverted-T scar (87.5 %, n = 28) and vertical scar (12.5 %, n = 4) were used for closure. All patients were satisfied with the outcome regarding breast projection, shape, and size at 12 (n = 30) and 24 months (n = 15) after surgery except for 12 cases that needed reoperations: 2 cases for bottoming out and lower pole deformity, 2 cases needed more reduction by liposuction or re-excision, and 8 scar revisions. Early and late results (up to 2 years) regarding breast shape and projection were found to be satisfactory while providing a reliable pedicle with less postoperative drainage. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <ExternalRef> <RefSource>www.springer.com/00266</RefSource> <RefTarget Address="http://www.springer.com/00266" TargetType="URL"/> </ExternalRef>.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s00266-013-0064-x
dc.identifier.endpage379en_US
dc.identifier.issn0364-216X
dc.identifier.issue2en_US
dc.identifier.pmid23381652
dc.identifier.scopus2-s2.0-84884345380
dc.identifier.scopusqualityQ1
dc.identifier.startpage372en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-013-0064-x
dc.identifier.urihttps://hdl.handle.net/20.500.12587/5555
dc.identifier.volume37en_US
dc.identifier.wosWOS:000316743600026
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofAesthetic Plastic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBreast meridianen_US
dc.subjectVertical mammaplastyen_US
dc.subjectBreast reductionen_US
dc.titleMeridian Pedicle-Based Breast Shaping in Reduction Mammaplasty: A Technical Modificationen_US
dc.typeArticle

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