Vertical Mammaplasty for Varying Degrees of Reduction.
10.14730/aaps.2016.22.3.135
- Author:
Daejin KIM
1
;
Seo Young KIM
;
Daegu SON
Author Information
1. Dr. Kim Plastic Surgery, Pohang, Korea.
- Publication Type:Original Article
- Keywords:
Gigantomastia;
Mammaplasty;
Nipples
- MeSH:
Breast;
Female;
Humans;
Hypertrophy;
Mammaplasty*;
Nipples;
Sensation;
Telephone
- From:Archives of Aesthetic Plastic Surgery
2016;22(3):135-143
- CountryRepublic of Korea
- Language:English
-
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.
