Another Look at Breast Projection After Breast Reduction |
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Authors: | D A Hudson S Geldenhuys F Duminy K Adams |
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Institution: | (1) Department of Plastic and Reconstructive Surgery H53 OMB, Groote Schuur Hospital Observatory, Cape Town, 7925, South Africa |
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Abstract: | A controversy exists between vertical mammoplasty and the “traditional” keyhole\inferior pedicle method of breast reduction.
This article examines factors affecting breast projection by considering the difference in concept between vertical mammaplasty
(using the modification proposed by Hall-Findley as an example) and the inferior pedicle\keyhole pattern. This article is
not about “how to do” but rather about “why” things are done in a certain way. The emphasis is on understanding what is done
and its effects rather than on technique. The breast can be considered a cone. Breast projection then is the ratio between
the nipple projection and the breast base. Two key concepts need to be considered: the orientation of the ellipses during
excision of breast tissue in breast reduction and the role of the breast base\inframammary fold. Breast projection is not
determined by the scars. After an examination of each technique, methods to enhance projection are discussed. |
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Keywords: | Breast projection Breast reduction Inferior pedicle/keyhole pattern Vertical mammaplasty |
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