Another look at breast projection after breast reduction

Aesthetic Plastic Surgery
D A HudsonK Adams

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.

References

Mar 1, 1975·Plastic and Reconstructive Surgery·L Ribeiro
Sep 1, 1989·Annals of Plastic Surgery·G S GeorgiadeN G Georgiade
Sep 1, 1993·British Journal of Plastic Surgery·M A Pickford, J G Boorman
Aug 14, 1998·Plastic and Reconstructive Surgery·D A Hudson
Aug 6, 1999·British Journal of Plastic Surgery·S J McCulley, T E Rousseau
Aug 24, 1999·Plastic and Reconstructive Surgery·E J Hall-Findlay
Mar 4, 2000·Plastic and Reconstructive Surgery·C D MuntanR D Acland
Mar 17, 2001·Plastic and Reconstructive Surgery·S J McCulley, D A Hudson
Dec 16, 2003·British Journal of Plastic Surgery·G M BeerV E Meyer
Mar 29, 2005·Plastic and Reconstructive Surgery·David A Hidalgo

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Citations

Apr 19, 2017·Journal of Plastic Surgery and Hand Surgery·Yeon Soo KimHyung Mook Kim
Jun 2, 2011·Annals of Plastic Surgery·Steven H BaileyRod Rohrich

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