Vertical reduction mammoplasty based on Würinger's horizontal septum

VernacularTitle:保留乳腺横隔的垂直瘢痕乳房缩小成形术
Author: Jianying GU ¹ ; Yong ZHANG ; Zihao FENG ; Yanwen YANG ; Yuedong SHI ; Fazhi QI
Author Information

1. 复旦大学附属中山医院整形外科
Keywords: Reduction mammoplasty; Vertical scar; Würinger's horizontal septum
From: Chinese Journal of Medical Aesthetics and Cosmetology 2018;24(1):24-27
CountryChina
Language:Chinese
Abstract: Objective The vertical mammoplasty which improves the breast morphology and reduces the operative scar has become the first selection of breast reduction.However,the nipple-and-areola complex (NAC) had the risk of necrosis in those severe patients.In this report,we performed the vertical reduction mammoplasty based on Wu'ringer's horizontal septum to reduce the NAC necrosis possibility.Methods Typical Lejourmosque-dome design was performed.The inferior part of glandular tissue and the skin were excised.The NAC was elevated to normal position based on Wu'ringer's horizontal septum.The breast morphology was modified with vertical scar left.Results 79 patients were operated.4 patients had unilateral breast reduction.4 breasts had partial wound dehiscence.They were treated conservatively with topical dressing.No complete NAC necrosis occurred.Conclusions The vertical reduction mammoplasty based on Wu'ringer's horizontal septum is a safe and effective procedure.The NAC necrosis risk is reduced.This method deserves to be recommended.