| Title | Mammaplasty combining vertical and transverse approaches through a vertical incision. |
| Author(s) | Abramo AC, Teixeira JC, Galindo A |
| Institution | Division of Plastic and Reconstructive Surgery, General Hospital of Beneficência Portuguesa of São Paulo, Brazil. acabramo@abramo.com.br |
| Source | Plast Reconstr Surg 2004 Feb; 113(2):508-16. |
| MeSH | Adolescent
Adult
Female
Humans
Mammaplasty
Middle Aged
Surgical Flaps
|
| Abstract | An adjustable vertical marking is described for vertical mammaplasty in mild and moderate hypertrophy or ptosis of the breast. A vertical rectangular flap with the pedicle supported at the inframammary fold provides fullness for the upper or the lower pole of the breast. It is fixed over the pectoralis aponeurosis along the upper pole to the base of the pedicle. Length, width, and thickness of the vertical rectangular flap change regarding the extent of breast ptosis and hypertrophy. Two transverse triangular flaps, dissected in the lower pole of the breast, are supported on the inferior half of the vertical pillars at the incision margins. The criss-crossing of the triangular flaps creates a transverse support sling, avoiding the downward displacement of the breast. The vertical flap is applied in conjunction with the triangular flap to attempt to achieve projection and support for the breast with long-term stabilization of the mammary cone. Resection of mammary tissue is performed transversely just above the pedicle of the vertical flap. |
| Language | eng |
| Pub Type(s) | Case Reports
Journal Article
|
| PubMed ID | 14758210 |
