Reduction mammoplasty by central pedicle flap transposition
- VernacularTitle:乳腺中心蒂乳房肥大缩小术
- Author:
Ligang LIU
;
Gang CHEN
;
Jin WANG
- Publication Type:Journal Article
- Keywords:
Hypermastia;
Reductive mammoplasty;
Mammary central pedicle
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2002;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a surgical procedure of reduction mammary plasty to assure the viability and sensory of the nipple-areolar complex (NAC) after transposition and to keep the lactiferous function partly. Methods Reduction was accomplished by using perforating vascular branches from the pectoralis major muscle and its fascia supplying the nipple and breast parenchyma instead of the subdermal plexus. The central vascular pedicle supplying the nipple-areola complex was preserved. And the sensory nerve of the NAC was not injured. The erection of the nipple could be observed in operation. Lactation was possible because of preservation of the lactiferous ducts. The technique had been used in 17 patients since 1996. Results The nipple-areola complex was safely transposed with great freedom, and the amount of resection was accurately adjusted for symmetry. No cases of nipple-areola complex sensory change occurred postoperatively in all 17 patients. Breast-feeding was possible at least in one patient after operation. Conclusion This method is ideal for the patients, which keeps the viability and sensory of the nipple-areolar complex and the function of lactation. In another case, the amount of resection is easily adjusted for symmetry.
