The application of superomedial pedicle combined with vertical incision for the treatment of female hypermastia with asymmetric
10.3760/cma.j.issn.1009-4598.2019.03.004
- VernacularTitle: 垂直切口内上蒂法治疗不对称乳房肥大
- Author:
Zhengcai WANG
1
;
Li CHEN
;
Zichun GU
;
Hua LI
Author Information
1. Department of Plastic and Reconstructive Surgery, Sir Run Run Shaw Hospital, Medical College, Zhejiang University, Hangzhou 310016, China
- Publication Type:Clinical Trail
- Keywords:
Hypermastia;
Asymmetry;
Reductive mammoplasty
- From:
Chinese Journal of Plastic Surgery
2019;35(3):232-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of vertical incision with superomedial pedicle for the treatment of female asymmetric hypermastia.
Methods:The total of 31 patients with asymmetric breast hypertrophy were admitted from May 2012 to November 2018. All patients were female with an average age of 37.8 (28-55) years. Mammoplasty was performed by vertical incision with superomedial pedicle. According to the preoperative design, the epidermis of the pedicle, the excess skin and glandular tissue were removed. The superomedial pedicle was rotated upward and to be fixed on the major pectoralis fascia. After the fixation of the nipple areola, the incision was closed.
Results:The mean follow up was (8.4±3.0) months, with a range from 6 to 18 months.One patient was unsatisfied with scar hyperplasia. One patient had slight mastoptosis 6 months after operation and received favorable outcome after revision. The rest of 29 patients had satisfactory results.
Conclusions:For patients with asymmetric breast hypertrophy, the new location of nipples on both sides should be determined by the degree of mastoptosis and hypermastia. So that, symmetry breast as well as smaller breast can be obtained.
