The Paisley Pattern Breast Reduction.

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Breast Surgery

Background:

• Traditional breast reduction techniques (Wise and vertical patterns) have limitations, particularly in managing excess lateral skin and avoiding medial scarring.
• Excess lateral skin and medial scarring are common challenges in breast reduction surgery.
• The Paisley Pattern technique incorporates lateral dogear excision to address these specific issues.

Purpose of the Study:

• To evaluate the safety and efficacy of the novel Paisley Pattern breast reduction technique.
• To assess the Paisley Pattern as an alternative to established breast reduction methods.
• To demonstrate the feasibility of this new skin resection design.

Main Methods:

• A retrospective chart review of thirty consecutive patients undergoing Paisley Pattern breast reduction.
• Evaluation of key surgical outcomes including resection weight, operative time, American Society of Anesthesiologists class, flap necrosis, and seroma.
• Institutional review board approval was obtained prior to data collection.

Main Results:

• Operative times were comparable to those reported for Wise and vertical pattern techniques.
• No instances of lateral flap necrosis were observed.
• One patient developed a unilateral seroma, successfully managed with interventional radiology drainage.

Conclusions:

• The Paisley Pattern breast reduction is a safe and effective novel skin resection design.
• This technique offers an aesthetically acceptable alternative for both large and small breast reductions.
• While a learning curve exists for precise lateral resection, the pattern proves efficient and versatile.