The short scar three-block L-wing technique |
| |
| Affiliation: | 1. Department of Plastic Surgery, Reconstructive and Hand Surgery, Burn Center, Medical Faculty of the RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany;2. Aesthetic Elite International - Private Clinic, Königsallee 88, 40212 Düsseldorf, Germany;3. Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland;4. Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, Center of Reconstructive Surgery of Female Gender Characteristics, Luisenhospital Aachen, Teaching Hospital of the RWTH Aachen University, Boxgraben 99, 52064 Aachen, Germany;1. Centre for Cutaneous Research, Blizard Institute of Cell and Molecular Science, 4 Newark Street, Whitechapel, London E1 2AT, United Kingdom;2. King''s College School of Medicine and Dentistry, London, United Kingdom;1. Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, Sao Paulo, Brazil;2. Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan;1. Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia;2. Department of Plastic Surgery, Gatot Subroto Army Central Hospital, Jakarta, Indonesia;3. Faculty of Medicine, Syiah Kuala University, Banda Aceh, Indonesia;1. Division of Plastic Surgery, Surrey Memorial Hospital, University of British Columbia, 301-13737 96 Avenue, Surrey, BC V3V 0C6, Canada;2. Duke University, Durham, NC, United States;3. Division of General Surgery, University of British Columbia, Surrey, BC, Canada;4. Department of Mathematics, Simon Fraser University, Burnaby, BC, Canada;5. Department of Anesthesia, Surrey Memorial Hospital, Surrey, BC, Canada;1. The Division of Plastic Surgery, Dalhousie University, Nova Scotia, Canada;2. Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Texas, USA;3. The University of Texas Medical School at Houston, Houston, Texas, USA;4. Department of Thoracic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Texas, USA;1. Clinical Skills Training Center, Xiangya Hospital, Central South University, Changsha, China;2. Division of Plastic Surgery, Sacred Heart Campus, St. Luke''s Hospital, 1230 South Cedar Crest Boulevard, Suite 306, Allentown,, PA 18103, United States |
| |
| Abstract: | IntroductionNumerous techniques have been proposed for the plastic surgical treatment of hypertrophic breasts. Challenges of the procedure include the preservation of vascular supply and sensitivity of the nipple areola complex (NAC), breast feeding, and an esthetically pleasing result.ObjectivesIn the present preliminary report, we introduce a new technique called the three-block L-wing reduction mammaplasty that addresses the aforementioned difficulties.Materials and MethodsThe three-block L-wing reduction mammaplasty with a thick hemispheric superiorly based NAC pedicle and a medial as well as lateral pillar was performed in a total of 60 patients.ResultsOur technique increases both, vascular safety and the sensory supply to the NAC, as it conceptually decreases the need for dissection of breast tissue and skin. The incidence of fat necrosis and wound healing disorders may be reduced with this technique. Because the ducts of the breast-gland underneath the NAC are not dissected, this technique also promises a higher probability of regular breast-feeding. Finally, our technique permits a cosmetically pleasing round-shaped mound of the breast.ConclusionThe three-block modification simplifies the procedure of the superior pedicle L-wing mammaplasty markedly. It may increase the esthetic as well as the functional outcome and decrease postoperative complications. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
