Abstract
Background
Over the years, vertical scar breast reduction has gained more and more importance. This is due to the fact that this technique is associated with smaller scars and absence of scars in the inframammary fold. However, this technique also has some disadvantages, such as the pleating of the vertical scar during the first 6–12 months and final shape of the breast is achieved only after a year. It also cannot be applied to very large mammary hypertrophies. Herein, we present some modifications to the vertical scar breast reduction that allow long lasting results and reduced complications.
Methods
The modified vertical reduction was executed in 280 patients. Depending on the breast type and position of the nipple–areola complex (NAC) three different types of pedicles were used: superior, supero-medial and supero-lateral. Follow-up was carried out for at least 18 months and complications were recorded.
Results
Neither major complications nor bottoming out deformity were detected during follow-up. Maximum volume of tissue reduced was 1,600 g per breast.
Conclusion
By adding some modifications to the vertical scar breast reduction, the technique can be indicated in large mammary hypertrophies. A meticulous preoperative marking, minimum detachment of the breast, the suturing of mammary pillars, and a thin but large NAC pedicle are essential for obtaining a long lasting mammary shape and better results.
Level of Evidence: Level IV, therapeutic study.
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Ethical standards
This study has been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All persons gave their informed consent prior to their inclusion in this study.
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Cardoso, A., Martins, J., Coelho, G. et al. Modified vertical reduction mammaplasty: ten years of experience. Eur J Plast Surg 37, 215–226 (2014). https://doi.org/10.1007/s00238-013-0927-z
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DOI: https://doi.org/10.1007/s00238-013-0927-z