Our experiences regarding combined use of pedicle plication and dermal flap suspension in inferior pedicle inverted-T scar reduction mammaplasty

Teoman ESKİTAŞÇIOĞLU; Yalçın YONTAR

doi:https://doi.org/10.7197/cmj.vi.617002

Makale detayları

Our experiences regarding combined use of pedicle plication and dermal flap suspension in inferior pedicle inverted-T scar reduction mammaplasty

Yazarlar:

Teoman ESKİTAŞÇIOĞLU | Yalçın YONTAR

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 3, pp.611-619

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000922509

DOI:

https://doi.org/10.7197/cmj.vi.617002

Özet:

 


Objective: To present clinical outcomes and experiences regarding
combined use of plication and dermal flap suspension of inferior pedicle in
inverted-T scar reduction mammaplasty.


Method: One hundred and twenty-one cases with bilateral macromastia
were operated by using the present technique between March 2008 and November
2017. The cases were reviewed retrospectively regarding demographics,
preoperative findings, and postoperative outcomes. Of the 121 cases, 22 were
excluded from the study analysis.


Results: The mean age of the cases was 39.77 years. The mean preoperative diameter of NAC and
the mean preoperative distances of midclavicle-to-nipple, nipple-to-IMF and IMF
were 6.54, 33.48, 15.98 and 25.09 cm, respectively. The mean weight of excised tissue
per case was 2033.32 g. There were three cases with
unilateral T-junction dehiscence and two cases with unilateral T-junction
necrosis. Furthermore, one case presented with bilateral, and two cases presented with unilateral superficial
partial necrosis of NAC. At long-term, six cases had a slight asymmetry, two
had bilateral pseudoptosis, and three had bilateral hypertrophic scarring among
the transverse incision of the inverted-T scar. One case underwent bilateral
excision of lateral dog ears and one underwent surgery
due to unilateral fat necrosis at postoperative 3rd month. Two cases
presented with unilateral loss of NAC sensation. The overall satisfaction with
the operation was high.









Conclusions: The
outcomes of this study led us to conclude that the combined use of pedicle
plication and dermal flap suspension improves the shape and position
controllability of the inferior pedicle, produces a projectile and stabilized
breast mound, aids in achieving satisfactory long-term cosmetic outcomes, and
prevents breast deformities. Extended operative time can be considered as a
disadvantage of the technique.


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Makale detayları

Our experiences regarding combined use of pedicle plication and dermal flap suspension in inferior pedicle inverted-T scar reduction mammaplasty

Yazarlar: Teoman ESKİTAŞÇIOĞLU | Yalçın YONTAR

Ana Başlıklar: Sağlık teşvikleri

Dergi: Cumhuriyet Medical Journal 2019 Vol.41 Issue 3, pp.611-619

Belge Tipi: Makale

Yayın Tarihi: 9/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000922509

DOI: https://doi.org/10.7197/cmj.vi.617002

Sayı

Yazarlar:

Teoman ESKİTAŞÇIOĞLU | Yalçın YONTAR

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 3, pp.611-619

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000922509

DOI:

https://doi.org/10.7197/cmj.vi.617002