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Related Concept Videos

The Mammary Glands01:12

The Mammary Glands

The female breast is a hemispheric projection of variable size positioned anterior to the pectoralis major and serratus anterior muscles. A fascia layer composed of dense, irregular connective tissue connects it to these muscles.
Each breast features a pigmented projection known as the nipple, through which milk emerges via closely spaced openings of ducts, referred to as lactiferous ducts. Surrounding the nipple is a circular pigmented area of skin named the areola, which appears rough due to...

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Mammaplasty with L-incision.

Carlos Inacio Coelho de Almeida1

  • 1Division of plastic Surgery, Julia Kubistchek Hospital FHEMIG, Belo Horizonte, Brazil.

Aesthetic Surgery Journal
|April 2, 2009
PubMed
Summary
This summary is machine-generated.

The L-incision technique for breast reduction and mastopexy offers good aesthetic outcomes with minimal scarring. This method preserves nipple sensitivity and lactation function, addressing key patient concerns.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Surgical Techniques

Background:

  • Extensive scarring is a significant complication of traditional mastopexy and reduction mammaplasty.
  • Patient and physician dissatisfaction often stems from undesirable postoperative scarring.

Purpose of the Study:

  • To introduce and evaluate an L-incision technique for breast reduction and mastopexy.
  • To achieve favorable breast shape, projection, and minimize scarring.

Main Methods:

  • Utilized preoperative markings for tissue excision estimation and symmetry.
  • Performed breast reduction via perpendicular excision of the lower pole and transverse base amputation.
  • Employed a superiorly based flap from the lower pole for upper pole filling in mastopexy.
  • Carefully marked the new nipple-areolar complex (NAC) position considering postoperative changes.

Main Results:

  • The L-incision procedure was successfully performed on over 500 patients with positive outcomes.
  • Nipple sensitivity was generally maintained; lactation was preserved in 9 breastfeeding patients.
  • A low complication rate was observed, with revisions needed for scar hypertrophy, asymmetry, or persistent ptosis in 27 patients.

Conclusions:

  • The L-incision technique is a safe and effective method for breast augmentation and mastopexy.
  • It yields excellent breast shape and projection with inconspicuous scars.
  • Applicable for correcting breast hypertrophy, ptosis, and asymmetries.