Hyperplasias

  • Gottfried Lemperle
  • Jürg Nievergelt

Abstract

True instances of mammary hyperplasia and macromastia become apparent during adolescence and should be operatively treated at that time. Erosion of self-confidence, social isolation, and deterioration of self-image are some of the early psychological effects associated with this deformity. In addition, the weight of the enlarged breasts can lead to physical problems such as postural defects and myogeloses in the area of the cervical and upper thoracic spine, shoulder pain and furrowing from brassiere straps, and intertriginous eczema in the inframammary creases. The patient may be handicapped in her ability to engage in sports and other recreational activities, leading to problems in social adjustment and sometimes to neurotic postural attitudes.

Keywords

Cage Rubber Vasculitis Dextran Dition 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bolger WE, Seyfer AE, Jackson SM (1987) Reduction mammaplasty using the inferior glandula „pyramid“ pedicle: experiences with 300 patients. Plast Reconstr Surg 80: 75–84PubMedCrossRefGoogle Scholar
  2. Fleige R (1983) Untersuchungen über die Wirkung von durchblutungsfördernden Pharmaka auf Hautlappenplastiken bei Ratten. Dissertation, FrankfurtGoogle Scholar
  3. Höhler H (1978) Die Reduktionsmammaplastik der weiblichen Brust. Z Plast Chir 2: 68–91Google Scholar
  4. Jaeger K, Schneider B (1982) Die Innervation und Durchblutung der Mamille im Hinblick auf die perimamilläre Inzision. Chirurg 53: 525–527PubMedGoogle Scholar
  5. Lassus C (1987) Breast reduction: Evaluation of a technique–a single vertical scar. Aesthetic Plast Surg 11: 107–112PubMedCrossRefGoogle Scholar
  6. Lejour M, De May A, Duchateau J, Deraemaecker R (1987) Breast reductions with the SSS technique Transact. 9.Int. Congr. Plast. Surg, Delhi Tata. Mc GrawHill, New York, pp 368–370Google Scholar
  7. Lemperle G, Höhler H (1972) Die Bedeutung der Inframammarlinie bei der Reduktions-und AugmentationsMammaplastik. In: Schrudde J (Hrsg) Plastische Chirurgie. Pilgram, Köln, S 119–120Google Scholar
  8. Maillard GF (1986) A Z-Mammaplasty with minimal scarring. Plast Reconstr Surg 77: 66–76PubMedCrossRefGoogle Scholar
  9. Marchac D, De Olarte G (1982) Reduction mammaplasty and correction of ptosis with a short inframammary scar. Plast Reconstr Surg 69: 45–55PubMedGoogle Scholar
  10. McKissock PK (1972) Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg 49: 245–252PubMedCrossRefGoogle Scholar
  11. Meyer R, Kesselring UK (1979) Various dermal flaps with L-shaped suture line in reduction mammaplasty. Aesthetic Plast Surg 3: 41–46CrossRefGoogle Scholar
  12. Pitanguy I (1967) Surgical treatment of breast hypertrophy. Br J Plast Surg 20: 78–85PubMedCrossRefGoogle Scholar
  13. Regnault P (1974) Reductionmammaplasty by the B technique. Plast Reconstr. Surg 53: 19–25Google Scholar
  14. Robbins TH (1977) A reduction mammaplasty with areola-nipple based on an inferior dermal pedicle. Plast Reconstr Surg 59: 64–67PubMedCrossRefGoogle Scholar
  15. Strömbeck JO (1960) Mammaplasty: Report of a new technique based on the two-pedicle procedure. Br J Plast Surg 13: 79–90PubMedCrossRefGoogle Scholar
  16. Strömbeck JO (1964) Macromastia in women and its surgical treatment. Acta Chir Scand [Suppl] 341: 1–128Google Scholar
  17. Wise RH (1956) A preliminary report on a method of planning the mammaplasty. Plast Reconstr Surg 17: 367–375CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • Gottfried Lemperle
    • 1
  • Jürg Nievergelt
    • 2
  1. 1.Klinik für Plastische- und WiederherstellungschirurgieSt. Markus KrankenhausFrankfurt/Main50Germany
  2. 2.Service de chirurgie plastique et reconstructive, Centre des BrûlésLausanneSwitzerland

Personalised recommendations