Elimination of the vertical scar in reduction mammaplasty. Plast Reconstr Surg 1992 Mar;89(3):459-67; discussion 468
Date
03/01/1992Pubmed ID
1741469DOI
10.1097/00006534-199203000-00011Scopus ID
2-s2.0-0026582908 (requires institutional sign-in at Scopus site) 22 CitationsAbstract
We describe a technique to eliminate the vertical portion of the inverted-T incision in patients who have combined enlargement of the breasts and moderate to severe ptosis. Initial preoperative markings are made, placing the new nipple site at the level of the transposed inframammary crease. The nipple-areola complex is then retained on a vascularized pedicle, with major reduction of the breast tissue being done in the medial and lateral quadrants. The nipple and breast tissue are then tucked underneath the superior skin segment and placed in this new position as one would do with the umbilicus in an abdominoplasty. Excess vertical skin is removed, and horizontal excess is collected at the midline as a small dog-ear. We have found that this dog-ear reduces markedly with time, rounding out the inferior portion of the breasts. The remaining small amount of excess skin can then be removed under local anesthetic at a later date. We have performed this procedure on 20 patients, with follow-up from 6 to 24 months.
Author List
Yousif NJ, Larson DL, Sanger JR, Matloub HSAuthors
David Larson MD Emeritus Professor in the Plastic Surgery department at Medical College of WisconsinHani S. Matloub MD Emeritus Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Cicatrix
Female
Humans
Mammaplasty
Middle Aged
Nipples
