WORLD JOURNAL OF PLASTIC SURGERY
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Volume 8, Issue 3 (2019)
WJPS 2019, 8(3): 305-310 |
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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
URL: http://wjps.ir/article-1-512-en.html
1- King’s College Hospital London, Adnan Tahir, UAE , mloonen@yahoo.com
2- King’s College Hospital London, Adnan Tahir, UAE
2- King’s College Hospital London, Adnan Tahir, UAE
Abstract: (3543 Views)
BACKGROUND
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.
METHODS
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.
RESULTS
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.
CONCLUSION
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.
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