The free-nipple breast-reduction technique performed with transfer of the nipple-areola complex over the superior or superomedial pedicles
dc.contributor.author | Başaran, Karaca | |
dc.contributor.author | Saydam, Funda Aköz | |
dc.contributor.author | Ersin, İdris | |
dc.contributor.author | Yazar, Memet | |
dc.contributor.author | Aygit, Ahmet Cemal | |
dc.date.accessioned | 2021-05-15T12:40:45Z | |
dc.date.available | 2021-05-15T12:40:45Z | |
dc.date.issued | 2014 | |
dc.department | Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı | en_US |
dc.description.abstract | Although the free-nipple breast-reduction technique is essentially an amputation, achieving aesthetic results still is important. The authors present their technique for free nipple-areola complex (NAC) transfer over the superomedial or superior pedicle full-thickness flaps in patients for whom a free-nipple technique is inevitable due to certain risk factors. The study included 25 patients who underwent surgery with the aforementioned method for addressing severe gigantomastia. The patients had a mean age of 43 years (range 34-59 years) and a mean body mass index (BMI) of 35.8 kg/m(2) (range 28-42 kg/m(2)). During the operation, the NAC was elevated as a full-thickness skin graft, then transposed to the superior or superomedial pedicles, which had been planned previously. The subsequent stages of the operation thus became a Wise-pattern breast reduction. The mean resection per breast was 1,815 g (range 1,620-2,410 g). Breast projection, shape, and areolar pigmentation were assessed during the follow-up visit. One patient experienced a partial loss of the NAC graft, which healed secondarily, and three patients experienced a patchy hypopigmentation of the NAC. Breast projection and conical structure were observed to be preserved during the follow-up period. The modified free-nipple technique aimed to convert the reduction procedure to a technique similar to pedicle methods, yielding successful results during the early phases. The full-thickness flap constructed in this way provides more fullness and a maximum contribution to projection in patients who will inevitably undergo breast reduction with the free-nipple method. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.spinger.com/00266. | en_US |
dc.identifier.doi | 10.1007/s00266-014-0343-1 | |
dc.identifier.endpage | 726 | en_US |
dc.identifier.issn | 0364-216X | |
dc.identifier.issn | 1432-5241 | |
dc.identifier.issue | 4 | en_US |
dc.identifier.pmid | 24902916 | |
dc.identifier.scopus | 2-s2.0-84911993629 | |
dc.identifier.scopusquality | Q1 | |
dc.identifier.startpage | 718 | en_US |
dc.identifier.uri | https://doi.org/10.1007/s00266-014-0343-1 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12939/669 | |
dc.identifier.volume | 38 | en_US |
dc.identifier.wos | WOS:000339866500014 | |
dc.identifier.wosquality | Q2 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.institutionauthor | Aygit, Ahmet Cemal | |
dc.language.iso | en | |
dc.publisher | Springer | en_US |
dc.relation.ispartof | Aesthetic Plastic Surgery | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Free-Nipple Breast Reduction | en_US |
dc.subject | Projection | en_US |
dc.subject | Superior Pedicle | en_US |
dc.subject | Superomedial Pedicle | en_US |
dc.title | The free-nipple breast-reduction technique performed with transfer of the nipple-areola complex over the superior or superomedial pedicles | |
dc.type | Article |