Abstract
The evolution in the last 12 years of a personal technique for reduction mammaplasty is presented. First, the periareolar pedicle is marked, and then the inferior pole, where three types of marking are possible: type 1—linear marking; type 2—vertical or oblique fusiform marking; type 3—transverse fusiform marking, which with the periareolar marking is similar to a cyclops figure. The technical sequence is as follows: the handling of the pedicle, the reverse flap procedure, and then the breast resection.
The most important advancement was the development of a reverse flap in the inferior pole to improve a high and hypotrophic submammary fold. This flap has a transverse fusiform shape corresponding to the mouth of a Cyclops. After an incision in the superior border, the flap is rotated inferiorly, pushing down the flap tissue to make the full submammary fold. Nowadays, this flap procedure is performed in most patients with hypertrophy and ptosis.
This is a preview of subscription content, log in via an institution to check access.
References
Arié G (1957) Una nueva technica de mastoplastia. Rev Latinoam Cir Plast 3:23
Benelli L (1988) Technique de plastie mamaire: le “round Block”. Rev Fr Chir Esthet 50:7
Biesenberger H (1928) Eine neue Methode der Mammaplastik. Zentralbl Chir 38:2382–2387
Dartigues L (1925) Traitement chirurgical du prolapse mammaire. Arch Franco-Belg Chir 28:313
Dufourmentel C, Mouly R (1961) Plastie mammaire par la method oblique. Ann Chir Plast 6:45–58
Lassus C (1970) A technique for breast reduction. Int J Surg 53(1):69–72
Lejour M, Abboud M, Declety A, Kertesz P (1989) Reduction des chicatrices de plastie mammaire de l’ancre courte a la vertical. Ann Chir Plast Esthet 35:369
McKissock PK (1972) Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg 49(3):245–252
Pitanguy I (1959) Breast hypertrophy. Transactions of the Second International Congress of Plastic and Reconstructive Surgery, London
Pitanguy I (1961) Mammaplstias estudio de 245 casos consecutivos e apresentação de tecnica pessoal. Rev Bras Cir 42:201–220
Renó WT (1985) Mamaplastia periareolar em cone. Presented at 22nd Congresso Brasileiro de Cirurgia Plástica, Sessão Pinga-Fogo, Gramado, Brazil
Renó WT (1986) Mamaplastia Periareolar em Cone. III Jornada Sul Brasileira de Cirurgia Plástica, Porto Alegre, Brazil
Renó WT (1992a) Central support in mammaplasty. In: Hinderer UT (ed) Plastic Surgery, vol 2. Elsevier, New York
Renó WT (1992b) Reduction mammoplasty with a circular folded pedicle technique. Plast Reconstr Surg 90:65
Renó WT (1996) Reduction mammaplasty with a circular folded pedicle technique. In: Sperly A (ed) Mammaplasty brazilian procedures. Atlas CD-Rom, São Paulo
Renó WT (1999) Mammaplasty with a circular folded pedicle technique. Plast Reconstr Surg 104:1914
Renó WT (2009) Mammaplasty with a circular folded pedicle technique. In: Shiffman MA (ed) Mastopexy and breast reduction. Springer, Berlin, pp 471–481
Ribeiro L (1975) A new technique for reduction mammaplasty. Plast Reconstr Surg 55(3):330–334
Santos DC, Cardoso A, Barroso ML et al (2016) Suspensory ligament of the mammary gland: a case report. Aesth Plast Surg 40:98–101
Skoog T (1963) A technique of breast reduction: transposition of the nipple on a cutaneous vascular pedicle. Acta Chir Scand 126:453–465
Strombeck JO (1961) Mammaplasty: report of a new technique based on the two pedicle procedure. Br J Plast Surg 13:79–90
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Renó, W.T. (2018). Reduction Mammaplasty with a Circular Folded Pedicle Technique. In: Avelar, J. (eds) Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-54115-0_14
Download citation
DOI: https://doi.org/10.1007/978-3-319-54115-0_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-54114-3
Online ISBN: 978-3-319-54115-0
eBook Packages: MedicineMedicine (R0)