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Related Experiment Videos

"Zigzag" wavy-line periareolar incision.

Joe M Gryskiewicz1, Agnieszka S Hatfield

  • 1University of Minnesota Academic Health Center, 7373 France Avenue South, Suite 208, Minneapolis, MN 55435, USA. grysk001@tc.umn.edu

Plastic and Reconstructive Surgery
|November 26, 2002
PubMed
Summary

Plastic surgeons can improve breast surgery outcomes by using a zigzag wavy-line incision for areolar incisions. This technique creates a more natural-looking scar, enhancing the aesthetic appearance of the breast mound.

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Area of Science:

  • Plastic and reconstructive surgery
  • Aesthetic surgery
  • Breast surgery

Background:

  • Aesthetic outcomes of areolar incisions are often overlooked in surgical literature.
  • The areola is a highly visible area, necessitating inconspicuous surgical techniques.
  • Short-scar breast procedures like mastopexy and reduction mammaplasty utilize circumareolar incisions.

Observation:

  • A novel circumareolar technique avoiding purse-string sutures was developed.
  • This technique creates an irregular, wavy scar line mimicking natural skin texture.
  • 104 procedures were performed between August 1998 and August 1999.

Findings:

  • The zigzag wavy-line incision resulted in a scar that appeared more natural compared to a circular scar.
  • Complications included delayed healing in four patients and hypertrophic scarring in two patients.

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  • No scars required surgical revision, indicating good overall results.

    • Implications:

    • The zigzag wavy-line technique offers an improvement in the aesthetic quality of areolar incisions.
    • This method complements scar-shortening innovations in breast surgery.
    • The technique aims to create a more natural and lasting breast mound appearance by diminishing visible signs of surgery.