OBTAINING PROJECTION IN THE AMPUTATION FREE NIPPLE AREOLAR GRAFT BREAST REDUCTION WITHOUT A VERTICAL SCAR - USING BREAST PARENCHYMA TO CREATE A NEW MOUND
Me. Manstein et al., OBTAINING PROJECTION IN THE AMPUTATION FREE NIPPLE AREOLAR GRAFT BREAST REDUCTION WITHOUT A VERTICAL SCAR - USING BREAST PARENCHYMA TO CREATE A NEW MOUND, Annals of plastic surgery, 38(4), 1997, pp. 421-424
Multiple techniques for breast reduction in the giant breast have been
used, The amputation technique with the free nipple/areolar graft has
been the mainstay for severe macromastia since 1921. Traditional meth
ods for amputation of the inferior pole of the breast have created fai
rly flat breast mounds, Projection of the mound was enhanced by an inf
erior pleat with a resulting vertical scar. A new technique employing
a superiorly based dermal fat flap folded back behind the residual bre
ast to improve projection and roundness has been developed. It has not
only eliminated the vertical scar but improved the shape of the mound
. It has also given patients who were not previously goad candidates f
or reduction with other techniques an option for surgery despite the p
resence of old scars or the need for lumpectomy in the lower third of
the breast. A clinical series is presented.