U-Shaped Triple Lipodermal Flap: A Technical Refinement Aimed at Mitigating T-Junction Necrosis in Reduction...

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Wound Healing

Background:

• T junction breakdown is a significant complication in Wise pattern breast reductions.
• Superomedial pedicle reduction mammoplasty can be associated with T junction necrosis.

Purpose of the Study:

• To evaluate the efficacy of a U-shaped triple lipo-dermal flap technique.
• To assess the reduction of T junction necrosis in superomedial pedicle reduction mammoplasty.

Main Methods:

• Prospective cohort study of 20 women undergoing breast reduction.
• Exclusion criteria included smokers, autoimmune diseases, BMI > 30, diabetes, and hypertension.
• Data collected on BMI, ptosis, tissue weight, healing rates, and patient satisfaction.

Main Results:

• One patient (5%) experienced epidermolysis and T zone dehiscence.
• The U-shaped triple lipo-dermal flap technique demonstrated a 5% wound breakdown rate at the T junction.

Conclusions:

• The U-shaped triple lipo-dermal flap technique is safe and easy to perform.
• This technique distributes tension, reducing the risk of ischemia at the T junction.
• Further studies are needed on a broader population to confirm efficacy.