Complications of Reduction Mammaplasty: Comparison of Nipple-areolar Graft and Pedicle
作者:
David Hawtof,
Michael Levine,
Donald Kapetansky,
David Pieper,
期刊:
Annals of Plastic Surgery
(OVID Available online 1989)
卷期:
Volume 23,
issue 1
页码: 3-10
ISSN:0148-7043
年代: 1989
出版商: OVID
数据来源: OVID
摘要:
A retrospective study of breast reductions in 268 patients by two plastic surgeons was performed. Particular attention was paid to those patients treated by inferior pedicle techniques; these patients were compared with those treated by free nipple grafts. According to our findings, patients with skin loss were heavier and had longer suprasternal notch-to-nipple distances. Patients who had free nipple grafts were older and heavier and had larger specimen weights and longer suprasternal notch-to-nipple distances. Fifty-four of the original 268 patients were included in a substudy of larger breasts, defined as those with a specimen weight of over 700 g. Nineteen patients underwent free nipple grafts, and 35 underwent inferior pedicle techniques. None of the 19 patients having free nipple grafts developed complications, whereas 6 of the 35 undergoing inferior pedicle techniques sustained significant complications. We conclude that free nipple grafts should be considered over inferior pedicles in heavier patients with breast ptosis.
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