Superior Pedicle inverted T-reduction mammaplasty with short horizontal scar
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2024
Autores
Arbeláez, Sergio
Arbeláez, Sergio A.
Eslait, Rosa C.
Lacouture, Carlos J.
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Lippincott Williams & Wilkins
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Background: Superior pedicle breast reduction is a very popular technique among
plastic surgeons. This technique has had many variations looking for fewer complications
and better long-lasting results. The aim of this article is to present a novel
technique of breast reduction, making variations in the design of the periareolar
incision, using a superior pedicle with a constant vertical incision of 5 cm and a
shortened horizontal incision.
Methods: The superior pedicle inverted T-mammoplasty with a shortened horizontal
scar technique was performed in 1200 patients who underwent surgery between
2010 and 2023; follow-up examination was carried out for an average of 1 year (3
months to 3 years). A patient satisfaction survey was conducted.
Results: Patient satisfaction rate was 99%. There were no cases of total necrosis of the
areola–nipple complex, 2.7% of the patients presented partial necrosis of the areola–
nipple complex, 1.4% of the patients presented local infection, 1.7% presented
dehiscence at some point of the vertical or horizontal suture, 4% of the patients
presented a widened scar, 8% of the patients presented alteration in the sensibility of
the areola–nipple complex, and 0.6% of the patients presented hematoma. With this
technique, a rise of the areola–nipple complex of up to 22cm was achieved.
Conclusions: The superior pedicle inverted T-mammaplasty with shortened horizontal
scar technique showed a lower number of surgical complications compared
with other techniques previously used for breast reduction, even when applied
in gigantomasty. It provides lasting results and a high rate of patient satisfaction.
(Plast Reconstr Surg Glob Open 2024; 12:e5625; doi: 10.1097/GOX.0000000000005625;
Published online 20 February 2024.)
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Arbeláez, Sergio MD*; Arbeláez, Sergio A. MD†; Eslait, Rosa C. MD*; Lacouture, Carlos J. MD†. Superior Pedicle Inverted T-reduction Mammaplasty with Short Horizontal Scar. Plastic & Reconstructive Surgery-Global Open 12(2):p e5625, February 2024. | DOI: 10.1097/GOX.0000000000005625
