Volume 8, Issue 3 (9-2019)                   wjps 2019, 8(3): 305-310 | Back to browse issues page

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Loonen M, Tahir A. Modification of the Superomedial Pedicle in Wise-Pattern Breast Reduction: New Sling Suspension Technique to Prevent (Pseudo) Ptosis. wjps. 2019; 8 (3) :305-310
URL: http://wjps.ir/article-1-512-en.html
King’s College Hospital London, Adnan Tahir, UAE
Abstract:   (1108 Views)
The combination of the superomedial pedicle with the traditional Wise-pattern skin resection has gained increasing popularity for its versatility and ability to achieve significant reduction of breast parenchyma and skin envelope. 
The author describes a reproducible new dermal suspension technique for cranial stabilization and fixation of the superomedial pedicle in Wise inverted T breast reductions to prevent pseudoptosis.
One patient had a small dermal skin abscess caudal from the right areola as a tissue reaction on the remaining suture. The other peri- and post-operative cases were uncomplicated. Two patients experienced a two-week postoperative pain in the areas treated by liposuction. There was no reduced or increased sensibility of the nipple-areola complex. No signs of (pseudo) ptosis were seen. There was a 100% patient satisfaction rate. 
Our technique denoted to a direct support of the pedicle using a non-interrupted dermal suspension flap continued with the pedicle to be a medial, caudal and lateral support for the pedicle. The dermal sling reduced the anterior force generated by the pedicle. The pedicle enfolded by the dermal flap formed a vital basis for ingrowth in the surrounding tissue.
Full-Text [PDF 1878 kb]   (699 Downloads)    
Type of Study: Original Article | Subject: General
Received: 2019/05/27 | Accepted: 2019/09/12 | Published: 2019/09/13

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