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Current trends in breast reduction.

D A Hidalgo¹, L F Elliot, S Palumbo

¹Albert Einstein College of Medicine at Montefiore Medical Center, New York, NY, USA. hidalgod@mskcc.org

Plastic and Reconstructive Surgery

|August 24, 1999

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Plastic surgeons are slowly adopting vertical-scar breast reduction techniques, favoring traditional inverted-T methods. Mastering the vertical-scar approach requires practice on less severe cases of macromastia.

Area of Science:

Plastic Surgery
Surgical Techniques

Background:

Current breast reduction surgery trends show minor refinements in inverted-T scar methods and increased use of vertical-scar reduction mammaplasty.
Vertical-scar mammaplasty offers benefits like reduced scarring and improved projection but is challenging to master.

Purpose of the Study:

To review the current role of various breast reduction techniques.
To assess the acceptance and application of vertical-scar mammaplasty among plastic surgeons.

Main Methods:

A survey of American Society of Plastic and Reconstructive Surgeons members was conducted at their 1998 annual meeting.
The survey aimed to gather data on preferred breast reduction techniques and related practices.

Main Results:

Related Experiment Videos

Vertical-scar methods showed slow acceptance, with the inferior/central pedicle inverted-T scar method dominating for various macromastia types.
Blood transfusion and liposuction played minimal roles; over half of breast reductions were inpatient procedures.

Conclusions:

The inverted-T scar method remains the dominant technique for breast reduction surgery.
Further development and training are needed to overcome challenges associated with the vertical-scar technique.