Title Most popular breast reduction techniques: impact of multiple factors on the method choice, results and complications /
Translation of Title Most Popular Breast Reduction Techniques: Impact of Multiple Factors on the Method Choice, Results and Complications.
Authors Maasmeier, Luis Michael
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Pages 26
Keywords [eng] “reduction mammaplasty”, “breast reduction”, “superomedial pedicle”, “inferior pedicle”, “superolateral pedicle”, “central pedicle”, “superior pedicle”, “free nipple grafting”, “weight”, “complication”, “nipple necrosis”, “gigantomastia”, “nipple innervation”, “vascular supply”, “ptosis”.
Abstract [eng] Background: The main goals of a breast reduction are the alleviation of symptoms and remodelling the breast to a youthful an aesthetical breast. Objective: The aim of this work is to analyse the most popular breast reduction techniques Methods: A narrative review was performed using PubMed database, focusing most studies between 2012-2022. For some research the timeframe was extended to 2005 due to lack of studies. Results: The most tested and familiar pedicle type with acceptable results remains the inferior pedicle(1). The superomedial and superolateral pedicle are tailored specifically to maximise the full vasculature supply and breast innervation(2)(3). The superomedial and superolateral pedicle experience lower complication rates compared to the inferior pedicle(4)(5). Both techniques experience a better long term satisfactory rate among patients(6)(7). Conclusion: Every patient needs to be assessed individually and the breast reduction approach should be individually designed to the patient and anatomical examinations of the breast. Pedicles are not solely influencing the results, as resection weight and morbidity of the patients matters. Promising results for breastfeeding and sensory preservation postoperatively were obtained when the column of subareolar parenchyma was preserved. The superomedial and superolateral pedicle remain less adapted as the inferior pedicle due to their novelty. Contradictory, they yield the most satisfactory results with the highest vascular reliability and should be considered as first choice options for most patients(8). Keywords: “reduction mammaplasty”, “breast reduction”, “superomedial pedicle”, “inferior pedicle”, “superolateral pedicle”, “central pedicle”, “superior pedicle”, “free nipple grafting”, “weight”, “complication”, “nipple necrosis”, “gigantomastia”, “nipple innervation”, “vascular supply”, “ptosis”.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2022