Running Circular Suture Technique for Reduction Mammaplasty and Mastopexy

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• 作者：Marco Antonio de Camargo Bueno (1) (3)
  William César Cavazana (1) (2)
  Ricardo Baroudi (1)
  Paulo Henrique Fachina Nunes (1)
  Jorge Miguel Psillakis (1)
  Ilka de Fátima Santana Ferreira Boin (1)
  
• 关键词：Breast ; Mammaplasty ; Surgery ; Plastic
• 刊名：Aesthetic Plastic Surgery
• 出版年：2012
• 出版时间：December 2012
• 年：2012
• 卷：36
• 期：6
• 页码：1320-1328
• 全文大小：809KB
• 参考文献：1. Laladrie JP, Mouly R (1978) History of mammaplasty. Aesthetic Plast Surg 2:167-83 CrossRef
  2. Melega JM (2003) Cirurgia Plástica Fundamentos e Arte: Cirurgia Estética, vol 3. Medsi, Rio de Janeiro, p 435
  3. Mey D, Greuse M, Azzam C (2005) The evolution of mammaplasty. Eur J Plast Surg 3:213-17 CrossRef
  4. Schwarzmann E (1930) Die Technick der Mammaplastik. Der Chirurg 2:932
  5. De la Plaza R, de la Cruz L, Moreno C, Soto L (2004) The crossed dermal flaps technique for breast reduction. Aesthetic Plast Surg 28:383-92 CrossRef
  6. Arié G (1957) Nova técnica em mamaplastia. Rev Latin Amer Cir Plast 3:28
  7. Pitanguy I (1960) Breast hypertrophy. In: Wallace AB (ed) Transactions of the second congress of the international society of plastic surgeons, Edinburg, Livingstone, London
  8. Pitanguy I (1961) Mamaplastias: estudo de 245 casos consecutivos e apresenta??o de técnica pessoal. Rev Brás Cir 42:201
  9. Pitanguy I (1967) Surgical treatment of breast hypertrophy. Br J Plast Surg 20:78 CrossRef
  10. Pitanguy I (1978) Mamaplastia. Guanabara Koogan, Rio de Janeiro, p 1
  11. Pitanguy I (1981) Aesthetic plastic surgery of head and body. Springer, Berlin, p 3 CrossRef
  12. Peixoto G (1979) Reduction mammaplasty: a personal method. In: Ely JF (ed) Transactions of the seventh international congress of plastic and reconstructive surgery, Rio de Janeiro, Cartgraf, S?o Paulo
  13. Peixoto G (1985) The infraareolar longitudinal incision in reduction mammaplasty. Aesthetic Plast Surg 9:1 CrossRef
  14. Riascos A (1999) Vertical mammaplasty for breast reduction. Aesthetic Plast Surg 23:213-17 CrossRef
  15. Lejour M (1999) Vertical mammaplasty: update and appraisal of late results. Plast Reconstr Surg 104:771-81 CrossRef
  16. Hinderer UT (2001) Circumareolar dermoglandular placation: a new concept for correction of breast ptosis. Aesthetic Plast Surg 25:404-20 CrossRef
  17. Graf R, Araujo L, Rippel R, Neto L, Pace D, Biggs T (2003) Reduction mammaplasty and mastopexy using the vertical scar and thoracic wall flap technique. Aesthetic Plast Surg 27:6-2 CrossRef
  18. Lista F, Ahmad J (2006) Vertical scar reduction mammaplasty: a 15-year experience including a review of 250 consecutive cases. Plast Reconstr Surg 7:2152-165
  19. Bozola AR, Oliveira HC, Sanchez WH, Miura O, D’Andreia S (1982) Mamoplastia em L: Contribui??o pessoal. R Amriggs. 207
  20. Dex EA, Asplund O, Ardehali B, Eccles SJ (2008) A method to select patients for vertical scar or inverted-T pattern breast reduction. J Plast Reconstr Aesthet Surg 61:1294-302 CrossRef
  21. Graf R, Biggs TA, Steely RL (2000) Breast shape: a technique for better upper pole fullness. Aesthetic Plast Surg 348:52
  22. Caldeira AML, Lucas A (2000) Pectoralis major muscle flap: a new support approach to mammaplasty. Aesthetic Plast Surg 24:58-0 CrossRef
  23. Ribeiro L (1975) A new technique for reduction mammaplasty. Plast Reconstr Surg 55:330-34
  24. Georgiade NG, Serafin D, Morris R, Georgiade G (1979) Reduction mammaplasty utilizing an inferior pedicle nipple areolar flap. Ann Plast Surg 3:211-18 CrossRef
  25. Bueno MAC, Souto LRM (2003) Mammaplasty: a new approach. Aesthetic Plast Surg 27:185-92 CrossRef
  26. Riggio E, Quattrone P, Nava M (2000) Anatomical study of the breast superficial fascial system: the inframammary fold unit. Eur J Plast Surg 23:310-15 CrossRef
  27. Rohrich RJ, Gosman AA, Brown AS, Tonadapu P, Foster B (2004) Current preferences for breast reduction techniques: a survey of board-certified plastic surgeons 2002. Plast Reconstr Surg 114:1724-733 CrossRef
  28. Nahai F (2004) Discussion: current preferences for breast reduction techniques: a survey of board-certified plastic surgeons 2002. Plast Reconstr Surg 114:1734-736 CrossRef
  29. Scott GR, Carson CL, Borah GL (2005) Maximizing outcomes in breast reduction surgery: a review of 518 consecutive patients. Plast Reconstr Surg 116:1633-639 CrossRef
  30. Hughes LA, Mahoney JL (1993) Patient satisfaction with reduction mammaplasty: an early survey. Aesthetic Plast Surg 17:345-49 CrossRef
  31. O’Blenes CAE, Delbridge CL, Miller BJ, Pantelis A, Morris SF (2006) Prospective study of outcomes after reduction mammaplasty: long-term follow up. Plast Reconstr Surg 118:1497-498 CrossRef
  
• 作者单位：Marco Antonio de Camargo Bueno (1) (3)
  William César Cavazana (1) (2)
  Ricardo Baroudi (1)
  Paulo Henrique Fachina Nunes (1)
  Jorge Miguel Psillakis (1)
  Ilka de Fátima Santana Ferreira Boin (1)
  
  1. Department of Surgery, College of Medical Sciences, Campinas State University, S?o Paulo, Brazil
  3. Rua Lidio Marson, 39, Amparo, SP, 13901-190, Brazil
  2. Medicine Department, Maringá State University, Maringá, PR, Brazil
  
• ISSN：1432-5241

文摘

Background Many reports have described various technical aspects of reduction mammaplasty and mastopexy procedures. The authors present their technique, which combines a number of techniques already described in the literature regarding repositioning of the nipple–areola complex, reduction of the diameter of the base of the breast, and long-term retention of mammary cone projection. This study evaluated the results for patients of various ages and phenotypes in terms of scar dimensions, breast positioning, and patient satisfaction in the short, medium, and long terms. Methods Mammaplasty was performed using the inverted T technique. The preoperative skin markings differed from those described in the literature in that they did not use the future position of the nipple–areola complex as the main reference point. A running circular suture was used to fix the breast to the pectoralis major fascia and to reduce the diameter of the base of the breast, resulting in a reduced horizontal scar in the inframammary fold. The skin-marking technique allowed for better postoperative breast symmetry regardless of preoperative variations in shape and volume. Results The outcomes were considered satisfactory in the majority of cases by both the patient (p?=?0.78) and the physician (p?=?0.58). Adequate fullness of the upper pole was maintained in 94.7?% of the breasts. Conclusions The described technique results in a reduced diameter of the base of the breast, repair of ptosis, repositioning of the nipple–areola complex, and long-term upper pole fullness. Complications can occur with any technique, but it is important to choose a technique with good quality outcomes overall. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.