To the Editor: Necrosis following Reduction Mammoplasty

1995 ◽  
Vol 12 (4) ◽  
pp. 383-383
Author(s):  
Rainer K. F. Scholze
Keyword(s):  
Reduction Mammoplasty

Bilateral Reduction Mammoplasty after Heart Transplantation

2014 ◽  
Vol 17 (4) ◽  
pp. 224
Author(s):  
Yue-Dong Shi ◽  
Fa-Zhi Qi ◽  
Zi-Hao Feng
Keyword(s):  
Heart Transplantation ◽  
Reduction Mammoplasty ◽  
Vertical Scar ◽  
Normal Heart ◽  
Breast Enlargement ◽  
Breast Morphology ◽  
Systolic And Diastolic Function ◽  
Bilateral Breast Enlargement ◽  
Scar Reduction

We report a bilateral reduction mammoplasty in a 15 year old female who suffered increasing back and shoulder pain and chest wall discomfort associated with bilateral breast enlargement during a 17 month period following heart transplantation. Cardiologic evaluation confirmed a structurally normal heart with good systolic and diastolic function, and ejection fraction of 80%. We performed a bilateral mammoplasty using dermal suspension flap in vertical-scar reduction. The patient recovered satisfactorily without incident, and breast morphology was excellent at the 2 year 9 month follow-up, with no recurrence of her previous symptoms or further hyperplasia.

Incidental breast carcinoma in reduction mammoplasty

2017 ◽  
Vol 117 (5) ◽  
pp. 308-311 ◽  
Author(s):  
Michaël Huysmans ◽  
Marc Bronckaers ◽  
Charlotte Schillebeeckx ◽  
Dirk Servaes
Keyword(s):  
Breast Carcinoma ◽  
Reduction Mammoplasty

The Safety of Operating on Breasts With a History of Prior Reduction Mammoplasty: Dynamic Magnetic Resonance Imaging Analysis of Angiogenesis

2021 ◽  
Author(s):  
Joseph Kyu-hyung Park ◽  
Seokwon Park ◽  
Chan Yeong Heo ◽  
Jae Hoon Jeong ◽  
Bola Yun ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Three Dimensional ◽  
Venous Drainage ◽  
Reduction Mammoplasty ◽  
Magnetic Resonance Images ◽  
Areolar Complex ◽  
Internal Mammary ◽  
Initial Procedure ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing

Abstract Background Vascularity of the nipple-areolar complex (NAC) is altered after reduction mammoplasty, which increases complications risks after repeat reduction or nipple-sparing mastectomy. Objectives To evaluate angiogenesis of the NAC via serial analysis of breast magnetic resonance images (MRIs). Methods Breast MRIs after reduction mammoplasty were analyzed for 35 patients (39 breasts) using three-dimensional reconstructions of maximal intensity projection images. All veins terminating at the NAC were classified as internal mammary, anterior intercostal, or lateral thoracic in origin. The vein with the largest diameter was considered the dominant vein. Images were classified based on the time since reduction: <6 months, 6-12 months, 12-24 months, >2 years. Results The average number of veins increased over time: 1.17 (<6 months), 1.56 (6–12 months), 1.64 (12–24 months), 1.73 (>2 years). Within 6 months, the pedicle was the only vein. Veins from other sources began to appear at 6–12 months. In most patients, at least two veins were available after 1 year. After 1 year, the internal mammary vein was the most common dominant vein regardless of the pedicle used. Conclusions In the initial 6 months after reduction mammoplasty, the pedicle is the only source of venous drainage; however, additional sources are available after 1 year. The internal thoracic vein was the dominant in most patients. Thus, repeat reduction mammoplasty or nipple-sparing mastectomy should be performed ≥1 year following the initial procedure. After 1 year, the superior or superomedial pedicle may represent the safest option when the previous pedicle is unknown.

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