Women with huge breasts have both physical and psychological problems. Physical mconvemences are. back, neck, and shoulder pain, mastodvnia, maceration and infection of the inframammary fold. Psychological aspects are: embarrassment Physical unattractiveness and lac k of sexual appeal and femininity. An ideal breast reduction mammaplasty procedure should be easy safe rapid preserving lactation, NAC sensibility and erection, improving aesthetical breasts shape. There are many surgical procedures for breast reduction and all boast the recovery of aesthetical results with disappearance of the macroma-stia symptomatology correlated. About the sensibility after breast reduction there are still many controversies on which technique could be considered as the best. In the last 7 years we treated 119 patients for hpertrophic and ptotic breasts using different surgical procedures. The superior pedicle technique was used for moderate (400-600 gr) to significant (600-800 gr) hypertrophy the inferior pedicle for significant to severe (800-1000 gr) hypertrophy and infero-central pedicle for significant macromastia to gigantomastia (> 1000 gr). At a mean follow-up of 62.68 months we evaluated and compared the complications observed for each technique. Major and minor complications such as partial or total NAC necrosis and wound dehiscence or liponecrosis respectively were considered. Specific questionnaires were created to analyzed the patients satisfaction (by mean the visual analogical scale) and the possible breast feeding success. The Semmes Weinstein Monofilaments were adopted to test breast sensibility post reduction and the date compared with a control group of 20 female with normal breasts (< 400 gr) In our experience the infero-central pedicle mammaplasty reduction seems to be the best choice to restore a complete morpho-functional breasts. This technique allows lactation preservation, good to optimal final breast shape, an higher NAC sensibility and a lower complication' rates compared to other techniques.
Morpho-functional complete recovery in breast reduction: Versatility of the inferior-central parenchymal pedicle
Portincasa A.;Parisi D.;Campanale A.;Annacontini L.;Lembo F.
2008-01-01
Abstract
Women with huge breasts have both physical and psychological problems. Physical mconvemences are. back, neck, and shoulder pain, mastodvnia, maceration and infection of the inframammary fold. Psychological aspects are: embarrassment Physical unattractiveness and lac k of sexual appeal and femininity. An ideal breast reduction mammaplasty procedure should be easy safe rapid preserving lactation, NAC sensibility and erection, improving aesthetical breasts shape. There are many surgical procedures for breast reduction and all boast the recovery of aesthetical results with disappearance of the macroma-stia symptomatology correlated. About the sensibility after breast reduction there are still many controversies on which technique could be considered as the best. In the last 7 years we treated 119 patients for hpertrophic and ptotic breasts using different surgical procedures. The superior pedicle technique was used for moderate (400-600 gr) to significant (600-800 gr) hypertrophy the inferior pedicle for significant to severe (800-1000 gr) hypertrophy and infero-central pedicle for significant macromastia to gigantomastia (> 1000 gr). At a mean follow-up of 62.68 months we evaluated and compared the complications observed for each technique. Major and minor complications such as partial or total NAC necrosis and wound dehiscence or liponecrosis respectively were considered. Specific questionnaires were created to analyzed the patients satisfaction (by mean the visual analogical scale) and the possible breast feeding success. The Semmes Weinstein Monofilaments were adopted to test breast sensibility post reduction and the date compared with a control group of 20 female with normal breasts (< 400 gr) In our experience the infero-central pedicle mammaplasty reduction seems to be the best choice to restore a complete morpho-functional breasts. This technique allows lactation preservation, good to optimal final breast shape, an higher NAC sensibility and a lower complication' rates compared to other techniques.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
