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A New Septum in the Female Breast
Mostafa Abdel Rahman Awad1, Mahmoud Magdi Sherif1, Eaman Yahya Sadek1
1Department of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, Egypt.
Archives of Plastic Surgery
|March 30, 2017
Summary
A newly identified vertical septum divides the lower breast into medial and lateral compartments. This anatomical finding is crucial for understanding breast structure and surgical approaches.
Area of Science:
- Anatomy
- Surgical Anatomy
- Breast Surgery
Background:
- The female breast fascial system is critical in breast surgery, yet anatomical details like breast ligaments remain understudied.
- Existing literature often references Cooper's work without detailed anatomical exploration.
- Recent descriptions include a horizontal septum supplying the nipple-areola complex.
Purpose of the Study:
- To describe a newly identified anatomical structure in the female breast.
- To elucidate the anatomical characteristics and location of this structure.
- To understand its implications for breast surgery.
Main Methods:
- Anatomical dissection of breast tissues during breast reduction surgery in 30 female patients.
- Intraoperative correlation with preoperative magnetic resonance imaging (MRI) findings.
- MRI performed on 5 additional patients for breast swelling investigations.
Main Results:
- Identification of a vertical septum in the lower breast, situated at the breast meridian between the lower quadrants.
- Characterization of the septum as a tough, bi-laminated structure.
- The septum extends from the infra-mammary crease to the nipple-areola complex and from the pectoral fascia to the skin, confirmed by MRI.
Conclusions:
- This study introduces a novel inferior vertical septum.
- This septum anatomically compartmentalizes the lower breast into distinct medial and lateral sections.
- This finding enhances the understanding of female breast anatomy relevant to surgical procedures.