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Four flap suspension technique for prevention of bottoming out after breast reduction

PURPOSE: Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an inter...

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Autores principales: Kankaya, Yüksel, Oruç, Melike, Sungur, Nezih, Aslan, Özlem çolak, Gürsoy, Koray, Özer, Kadri, Koçer, Uğur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717603/
https://www.ncbi.nlm.nih.gov/pubmed/26793687
http://dx.doi.org/10.4174/astr.2016.90.1.10
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author Kankaya, Yüksel
Oruç, Melike
Sungur, Nezih
Aslan, Özlem çolak
Gürsoy, Koray
Özer, Kadri
Koçer, Uğur
author_facet Kankaya, Yüksel
Oruç, Melike
Sungur, Nezih
Aslan, Özlem çolak
Gürsoy, Koray
Özer, Kadri
Koçer, Uğur
author_sort Kankaya, Yüksel
collection PubMed
description PURPOSE: Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an internal bra effect through combination of inferior pedicle technique with 2 superior and 2 inferior dermal flaps that were raised from each side of the pedicle. METHODS: Thirteen patients whose medical records became available during the follow-up period at Ankara Training and Research Hospital from January 2010 to January 2015 were included in this study. We retrospectively obtained patient medical records including demographic characteristics and clinical data. Superior dermal flaps were planned on both sides of the pedicle 2 cm inferior to the lower border of areola and inferior dermal flaps were planned 6 cm inferior to the superior dermal flaps. The superior and inferior dermal flaps were secured to the periosteum of the 2nd and 4th ribs respectively with permanent sutures. RESULTS: Preoperatively, the average distance between the inframammary fold and areola was 13.9 cm (range, 11-18 cm). The average amount of breast parenchymal resection was 745 g (range, 612-1,496 g). The average distance between the inframammary fold and the lower border of the areola was 7.9 cm (range, 7.5-9 cm) on the postoperative first-year measurements. CONCLUSION: In conclusion, according to our study, suspension technique to prevent bottoming-out deformity is associated with an easier technique without the need for alloplastic or allogenic materials. Since fixation is performed to the ribs instead of soft tissues like the pectoral fascia or muscle, we believe that this fixation is more long lasting and can be an effective alternative to other suspension techniques.
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spelling pubmed-47176032016-01-20 Four flap suspension technique for prevention of bottoming out after breast reduction Kankaya, Yüksel Oruç, Melike Sungur, Nezih Aslan, Özlem çolak Gürsoy, Koray Özer, Kadri Koçer, Uğur Ann Surg Treat Res Original Article PURPOSE: Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an internal bra effect through combination of inferior pedicle technique with 2 superior and 2 inferior dermal flaps that were raised from each side of the pedicle. METHODS: Thirteen patients whose medical records became available during the follow-up period at Ankara Training and Research Hospital from January 2010 to January 2015 were included in this study. We retrospectively obtained patient medical records including demographic characteristics and clinical data. Superior dermal flaps were planned on both sides of the pedicle 2 cm inferior to the lower border of areola and inferior dermal flaps were planned 6 cm inferior to the superior dermal flaps. The superior and inferior dermal flaps were secured to the periosteum of the 2nd and 4th ribs respectively with permanent sutures. RESULTS: Preoperatively, the average distance between the inframammary fold and areola was 13.9 cm (range, 11-18 cm). The average amount of breast parenchymal resection was 745 g (range, 612-1,496 g). The average distance between the inframammary fold and the lower border of the areola was 7.9 cm (range, 7.5-9 cm) on the postoperative first-year measurements. CONCLUSION: In conclusion, according to our study, suspension technique to prevent bottoming-out deformity is associated with an easier technique without the need for alloplastic or allogenic materials. Since fixation is performed to the ribs instead of soft tissues like the pectoral fascia or muscle, we believe that this fixation is more long lasting and can be an effective alternative to other suspension techniques. The Korean Surgical Society 2016-01 2015-12-29 /pmc/articles/PMC4717603/ /pubmed/26793687 http://dx.doi.org/10.4174/astr.2016.90.1.10 Text en Copyright © 2016, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/4.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kankaya, Yüksel
Oruç, Melike
Sungur, Nezih
Aslan, Özlem çolak
Gürsoy, Koray
Özer, Kadri
Koçer, Uğur
Four flap suspension technique for prevention of bottoming out after breast reduction
title Four flap suspension technique for prevention of bottoming out after breast reduction
title_full Four flap suspension technique for prevention of bottoming out after breast reduction
title_fullStr Four flap suspension technique for prevention of bottoming out after breast reduction
title_full_unstemmed Four flap suspension technique for prevention of bottoming out after breast reduction
title_short Four flap suspension technique for prevention of bottoming out after breast reduction
title_sort four flap suspension technique for prevention of bottoming out after breast reduction
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717603/
https://www.ncbi.nlm.nih.gov/pubmed/26793687
http://dx.doi.org/10.4174/astr.2016.90.1.10
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