scholarly journals The Hybrid Breast Reduction; Taking Advantages of from Both the Vertical and Wise Pattern Reductions

2016 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Breast Reduction ◽  
Reduction Mammaplasty ◽  
Skin Incision ◽  
Hybrid Technique ◽  
Vertical Scar ◽  
Aesthetic Result ◽  
Advantages And Disadvantages ◽  
Type Pattern ◽  
Wise Pattern ◽  
Breast Projection

Reduction mammaplasty is one of the most commonly performed procedures by plastic surgeons. The Wise and vertical scar techniques are two of the most commonly published and performed techniques. The superior technique has long been argued. The advantages and disadvantages of each are well documented. We show a technique which combines the best aspects of the Wise and vertical pattern reductions. In this “Hybrid” technique, we use a typical superior medical pedicle that would be typically used in a vertical pattern and use a skin incision and tissue resection pattern of that of a Wise type pattern. By doing using this technique , the surgeon is able to utilize advantages of the two well-known reduction types. The hybrid reduction uses a robust and reliable superior type pedicle which also allows for a quick de epithelization and dissection of the pedicle. By using the Wise type (anchor shaped skin incision) a large amount of tissue is able to be harvested and the breast projection is restored and is aesthetically favorable. This paper outlines several important points which can aid in achieving an optimal aesthetic result when performing the hybrid breast reduction.

Reduction Mammoplasty

2019 ◽  
pp. 649-664
Author(s):  
M. Mark Mofid ◽  
Gehaan D’Souza ◽  
Benjamin E. Cohen ◽  
Michael E. Ciaravino
Keyword(s):  
Patient Satisfaction ◽  
Breast Reduction ◽  
Reduction Mammaplasty ◽  
Well Being ◽  
The United States ◽  
Reduction Mammoplasty ◽  
Strongly Correlated ◽  
Breast Reduction Surgery ◽  
Developmental Factors ◽  
Wise Pattern

Breast reduction is one of the more common plastic surgery operations performed in the United States. There were 1,00,000 operations performed in 2015. The etiology of breast hypertrophy is unclear and likely involves some combination of hormonal, genetic, and developmental factors. Patients with mammary hypertrophy complain of intertriginous infections, back and shoulder pain, shoulder notching, physical inactivity, dissatisfaction with breast appearance, poor sexual well-being, and poor psychological well-being. The goals of breast reduction surgery are to reduce overall breast volume, maintain nipple-areola viability, and achieve a shape that is aesthetically pleasing. Breast reduction improves patient satisfaction with breast appearance as well as physical and psychosocial well-being. Overall patient satisfaction is most strongly correlated with happiness with the appearance of the breasts. A number of techniques have been developed that effectively meet these goals. Three techniques are described in this chapter: inferior pedicle Wise pattern reduction mammaplasty, vertical pattern breast reduction, and partial breast amputation with free nipple-areola grafting.

scholarly journals The expanded inframammary fold triangle: Improved results in large volume breast reductions

2014 ◽  
Vol 47 (01) ◽  
pp. 65-69 ◽  
Author(s):  
Karan Chopra ◽  
Kashyap Komarraju Tadisina ◽  
Alexandra Conde-Green ◽  
Devinder P Singh
Keyword(s):  
High Risk ◽  
Large Volume ◽  
Breast Reduction ◽  
Reduction Mammaplasty ◽  
Inframammary Fold ◽  
Wound Complications ◽  
Obese Patients ◽  
Inferior Pedicle ◽  
Improved Outcomes ◽  
Wise Pattern

ABSTRACT Context: The inferior pedicle, Wise-pattern reduction mammaplasty is the most popular technique for breast reduction because of its reproducible results and reliability. However, complication rates in super obese patients or patients receiving large volume reductions are high, ranging from 35 to 78%. These complications include delayed healing, infection, seroma, nipple-areolar complex necrosis, fat necrosis and development of hypertrophic scars. Aims: This study aimed to determine whether a modification to the standard Wise-pattern reduction technique, an expanded inframammary fold skin triangle, produces improved outcomes in high-risk large volume breast reduction patients. We report that this modification leads to improved outcomes by decreasing wound complications and improving aesthetic appearance. Settings and Design: Twenty-two patients received the inferior pedicle Wise-pattern reduction mammaplasty, which was modified to include an 8 cm wide inferior pedicle. This pedicle was de-epithelialized and an 8 Χ 3 cm 2 triangle of skin was preserved at the inferior base to reduce tension at the triple point, inverted T-closure. Materials and Methods: A retrospective review was performed on all patients who underwent reduction mammaplasty with the expanded inframammary fold (eIMF) technique as well as all patients who received the standard wise pattern technique. Statistical Analysis Used: A student t-test was performed for both reduction populations using SPSS software package. Statistical significance was defined as P < 0.05. Results: The average patient age was 32.25 years old (range 18-59), average BMI was 35.0, and average tissue mass removed per breast was 1378.39 g. The modified technique was found to produce a statistically significant (P < 0.05) increase in the amount of breast tissue removed (693.96 g increase in the left and 571.21 g in the right) as well as a statistically significant (P < 0.05) reduction in dehiscence (75% reduction) and post-operative infection (44.10%). Conclusions: This method is an easily reproducible and reliable technique that produces a favourable cosmetic outcome with acceptable, sustainable results in high-risk reductions in obese patients.

scholarly journals Juvenile Breast Hypertrophy: A Successful Breast Reduction of 14.9% Body Weight without Recurrence in a 5-Year Follow-Up

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Akmal Hisham ◽  
Marzida Abd Latib ◽  
Normala Basiron
Keyword(s):  
Body Weight ◽  
Breast Reduction ◽  
Reduction Mammaplasty ◽  
Meta Analysis ◽  
Total Body Weight ◽  
Risk Of Recurrence ◽  
Aesthetic Result ◽  
The Aesthetic ◽  
Free Nipple Graft

Juvenile hypertrophy of the breast (JHB) is a rare and relentless disease affecting women in the peripubertal period. We present a 13-year-old girl with massive bilateral JHB, successfully treated with a breast reduction and free nipple graft technique. A total of 7300 grams of breast tissue had been removed, accounting for 14.9% of the patient’s total body weight. Prophylactic hormonal therapy was not commenced. During the 5-year follow-up period, there was no recurrence and the patient remains satisfied with the aesthetic outcome. A recent meta-analysis study indicates that subcutaneous mastectomy is associated with reduced risk of recurrence, but it is more deforming and the aesthetic result is inferior to a reduction mammaplasty. In patients treated with the latter technique, some evidence exists suggesting that the use of a free nipple graft is associated with a less frequent risk of recurrence than a pedicle technique. This present case is unique as it demonstrates the clinical course of this patient at a considerably longer follow-up period than most reported studies. We adhered to the limited available evidence and highlight the long-term reliability of breast reduction with free nipple grafting as the first line surgical option in JHB, eliminating the need for repeated surgeries.

Complications of Wise-Pattern Compared With Vertical Scar Mastopexy/Breast Reduction in Oncoplastic Breast-Conserving Surgery

2020 ◽  
Vol 85 (6) ◽  
pp. 601-607 ◽  
Author(s):  
Mark V. Schaverien ◽  
Olivier A. Deigni ◽  
Karri A. Adamson ◽  
Geoffrey L. Robb ◽  
Henry Kuerer ◽  
...  
Keyword(s):  
Breast Reduction ◽  
Breast Conserving Surgery ◽  
Vertical Scar ◽  
Wise Pattern ◽  
Vertical Scar Mastopexy

Seat belt breast injury: a reconstructive approach to managing unilateral bisected breast deformity

2021 ◽  
Vol 14 (7) ◽  
pp. e243065
Author(s):  
George Lafford ◽  
Stephen Mulgrew ◽  
Guido Köhler ◽  
Richard Haywood
Keyword(s):  
Surgical Management ◽  
Breast Reduction ◽  
Seat Belt ◽  
Contralateral Breast ◽  
Aesthetic Result ◽  
Scar Revision ◽  
Breast Deformity ◽  
Areola Complex ◽  
Psychosocial Sequelae ◽  
Wise Pattern

Seat belt breast deformity can result in significant aesthetic, functional and psychosocial sequelae. Although seat belt breast deformity is well documented, there is a lack of literature describing their reconstructive management. We describe the surgical management of a 63-year-old woman presenting with stage 2b seat belt breast deformity, who underwent scar revision, repositioning of the nipple–areola complex and contralateral breast reduction using Wise-pattern incisions based on superior pedicles. She made an excellent recovery with an improved aesthetic result.

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