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Vertical Mammaplasty for Varying Degrees of Reduction

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Author(s)
Daejin KimSeo-young KimDaegu Son
Keimyung Author(s)
Son, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Institute for Medical Science (의과학연구소)
Journal Title
Archives of Aesthetic Plastic Surgery
Issued Date
2016
Volume
22
Issue
3
Keyword
GigantomastiaMammaplastyNipples
Abstract
Background. Vertical reduction mammaplasty has been criticized for its inability to address larger cases of mammary hypertrophy, with a relatively high frequency of sensory loss reported. This article describes our single-institution experience with modified vertical reduction mammaplasty for varying degrees of breast reduction.
Methods. Thirty-three patients underwent breast reduction using the modified vertical reduction mammaplasty technique with a superomedial dermoglandular pedicle and modifications involving breast parenchyma excision. The degree of sensory preservation in the nipple-areola complex (NAC) was compared with preoperative sensation using an ordinal scale (0, insensate; 10, unchanged). Postoperative outcomes were evaluated through a photogrammetric analysis. Satisfaction with postoperative outcomes was assessed using a telephone questionnaire survey (1, very poor; 5, very good).
Results. The modified vertical mammaplasty technique allowed for reductions of up to 1,800 g per side. The mean resection weight was 459.24 g per breast (range, 76-1,800 g). Of the 59 operations, 9 involved complications without significant morbidity. The sensibility of the NAC recovered in most patients by 5 months after the operation. The mean satisfaction score was 3.4, which was between ‘no change’ and ‘satisfied.’
Conclusions. Modified vertical reduction mammaplasty allows a single surgeon to address varying degrees of breast hypertrophy.
Keimyung Author(s)(Kor)
손대구
Publisher
School of Medicine
Citation
Daejin Kim et al. (2016). Vertical Mammaplasty for Varying Degrees of Reduction. Archives of Aesthetic Plastic Surgery, 22(3), 135–143. doi: 10.14730/aaps.2016.22.3.135
Type
Article
ISSN
2234-0831
DOI
10.14730/aaps.2016.22.3.135
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32357
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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