Four flap suspension technique for prevention of bottoming out after breast reduction

Annals of Surgical Treatment and Research
Yüksel KankayaUğur Koçer

Abstract

Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an internal bra effect through combination of inferior pedicle technique with 2 superior and 2 inferior dermal flaps that were raised from each side of the pedicle. Thirteen patients whose medical records became available during the follow-up period at Ankara Training and Research Hospital from January 2010 to January 2015 were included in this study. We retrospectively obtained patient medical records including demographic characteristics and clinical data. Superior dermal flaps were planned on both sides of the pedicle 2 cm inferior to the lower border of areola and inferior dermal flaps were planned 6 cm inferior to the superior dermal flaps. The superior and inferior dermal flaps were secured to the periosteum of the 2nd and 4th ribs respectively with permanent sutures. Preoperatively, the average distance between the inframammary fold and areola was 13.9 cm (range, 11-18 cm). The average amount of breast parenchymal resection was 745 g (range, 6...Continue Reading

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Citations

May 26, 2017·Aesthetic Plastic Surgery·Canser Yilmaz DemirMuhammet Eren Ersoz
Jan 9, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Nazım Gümüş
Mar 5, 2021·Aesthetic Plastic Surgery·Sadri O Sozer, Paul M Phillips

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