Round autoprosthesis: use of adipodermaglandular flap in T scar mastopexy

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dc.contributor.authorDuran, Alpay
dc.contributor.authorÇörtük, Oğuz
dc.contributor.authorEroğlu, Sinem
dc.date.accessioned2024-03-30T08:51:30Z
dc.date.available2024-03-30T08:51:30Z
dc.date.issued2024en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose: This study focuses on the use of round or anatomically shaped breast autoprosthesis with different volumes prepared from the central and lower poles of the breast. The technical details and surgical outcomes for patients with varying degrees of breast ptosis are discussed. Material and method: This study involved 42 patients who underwent the Wise-pattern superior pedicle mastopexy procedure using the adipodermaglandular island flap technique. The research spanned from December 2017 to August 2022. The study participants had not previously undergone breast surgery, did not desire breast implants, and exhibited grade 2 and 3 breast ptosis according to the Regnault Classification. Age and preoperative breast measurements of the patients were recorded for subsequent analysis. Measurements, such as the distance from the nipple-areolar complex to the inframammary fold and the distance from the suprasternal notch to the nipple-areolar complex, were taken both before the surgery and one year after. A systematic process was followed to identify acute and subacute complications during the postoperative follow-up period. Results: This study involved 42 patients with a mean age of 33.9 years (range: 23-49 years). These procedures were conducted between December 2017 and August 2022. The average SN-N distance before surgery measured 26.7 cm (range: 24-33 cm). One year after surgery, the average SN-N distance was 23.1 cm (range: 21.3-24.8 cm). The follow-up duration for the examined cases ranged from 12 to 18 months on average. Among the observed cases, delayed wound healing was noted in one instance, venous insufficiency of the nipple in another, and fat necrosis in a third case. The overall complication rate in the group was determined to be 7.1%. Conclusion: In our study, the detachment of dermal connections at the level of the inframammary fold (IMF) and the smooth advancement of the flap in the form of an "island flap" made a contribution to upper pole fullness. Furthermore, we hypothesize that the fusion of the medial and lateral ends of the flap will enhance tissue integration during the healing process, promoting compatibility between the autoprosthesis tissue and breast tissue. Regarding the rates of complications described, classic mastopexy techniques have exhibited similar rates in our findings.en_US
dc.identifier.citationDuran, A., Çörtük, O., Eroğlu, S. (2024). Round autoprosthesis: use of adipodermaglandular flap in T scar mastopexy. Aesthetic Plastic Surgery, 48(17), 3378-3385. 10.1007/s00266-024-03909-2en_US
dc.identifier.endpage3385en_US
dc.identifier.issn0364-216X
dc.identifier.issn1432-5241
dc.identifier.issue17en_US
dc.identifier.scopus2-s2.0-85186549080
dc.identifier.scopusqualityQ1
dc.identifier.startpage3378en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12939/4645
dc.identifier.volume48en_US
dc.identifier.wosWOS:001175830800008
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorEroğlu, Sinem
dc.language.isoen
dc.relation.ispartofAesthetic Plastic Surgery
dc.relation.isversionof10.1007/s00266-024-03909-2en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnatomicen_US
dc.subjectAutologous augmentationen_US
dc.subjectMastopexyen_US
dc.subjectUpper poleen_US
dc.subjectWise patternen_US
dc.titleRound autoprosthesis: use of adipodermaglandular flap in T scar mastopexy
dc.typeArticle

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