Tags

Type your tag names separated by a space and hit enter

Modification of the Superomedial Pedicle in Wise-Pattern Breast Reduction: New Sling Suspension Technique to Prevent (Pseudo) Ptosis.
World J Plast Surg 2019; 8(3):305-310WJ

Abstract

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.

Authors+Show Affiliations

King's College Hospital London, Adnan Tahir, UAE.King's College Hospital London, Adnan Tahir, UAE.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31620331

Citation

Loonen, Martain, and Adnan Tahir. "Modification of the Superomedial Pedicle in Wise-Pattern Breast Reduction: New Sling Suspension Technique to Prevent (Pseudo) Ptosis." World Journal of Plastic Surgery, vol. 8, no. 3, 2019, pp. 305-310.
Loonen M, Tahir A. Modification of the Superomedial Pedicle in Wise-Pattern Breast Reduction: New Sling Suspension Technique to Prevent (Pseudo) Ptosis. World J Plast Surg. 2019;8(3):305-310.
Loonen, M., & Tahir, A. (2019). Modification of the Superomedial Pedicle in Wise-Pattern Breast Reduction: New Sling Suspension Technique to Prevent (Pseudo) Ptosis. World Journal of Plastic Surgery, 8(3), pp. 305-310. doi:10.29252/wjps.8.3.305.
Loonen M, Tahir A. Modification of the Superomedial Pedicle in Wise-Pattern Breast Reduction: New Sling Suspension Technique to Prevent (Pseudo) Ptosis. World J Plast Surg. 2019;8(3):305-310. PubMed PMID: 31620331.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modification of the Superomedial Pedicle in Wise-Pattern Breast Reduction: New Sling Suspension Technique to Prevent (Pseudo) Ptosis. AU - Loonen,Martain, AU - Tahir,Adnan, PY - 2019/10/18/entrez PY - 2019/10/18/pubmed PY - 2019/10/18/medline KW - Breast reduction KW - Ptosis KW - Superomedial pedicle KW - Wise-pattern SP - 305 EP - 310 JF - World journal of plastic surgery JO - World J Plast Surg VL - 8 IS - 3 N2 - 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. SN - 2228-7914 UR - https://www.unboundmedicine.com/medline/citation/31620331/Modification_of_the_Superomedial_Pedicle_in_Wise-Pattern_Breast_Reduction:_New_Sling_Suspension_Technique_to_Prevent_(Pseudo)_Ptosis L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31620331/ DB - PRIME DP - Unbound Medicine ER -