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Central pedicle reduction mammaplasty with a vertical scar: a technical modification
Yeon Soo Kim1, Kun Hwang2, Joo Ho Kim2
1a Department of Plastic Surgery, Catholic Kwandong University School of Medicine , Catholic Kwandong University , Incheon , Korea.
This modified central pedicle reduction mammaplasty technique creates a conical breast shape with a vertical scar. It offers long-lasting projection and high patient satisfaction, preserving breast function.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
Background:
- Introduces a modified central pedicle reduction mammaplasty technique.
- Features a vertical scar for improved aesthetics.
Purpose of the Study:
- To achieve a more conical breast shape.
- To enhance long-lasting breast projection.
- To modify the central pedicle flap in reduction mammaplasty.
Main Methods:
- Utilized preoperative markings for nipple-areola complex (NAC) and inframammary fold.
- Performed en bloc excision of breast parenchyma to form a central mound.
- Transposed the central pedicle with NAC to its new location.
Main Results:
- Applied to 56 patients with a mean follow-up of 18 months.
- Achieved a significant increase in breast parenchymal ratio (1.2 to 3.9).
- Reported a mean postoperative satisfaction score of 4.23.
Conclusions:
- The technique is versatile for various breast shapes and tissue conditions.
- Provides an attractive conical breast shape with minimal scarring.
- Maximizes preservation of breast function.
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