The free-nipple breast-reduction technique performed with transfer of the nipple-areola complex over the superior or superomedial pedicles

dc.contributor.authorBaşaran, Karaca
dc.contributor.authorSaydam, Funda Aköz
dc.contributor.authorErsin, İdris
dc.contributor.authorYazar, Memet
dc.contributor.authorAygit, Ahmet Cemal
dc.date.accessioned2021-05-15T12:40:45Z
dc.date.available2021-05-15T12:40:45Z
dc.date.issued2014
dc.departmentTıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalıen_US
dc.description.abstractAlthough 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.doi10.1007/s00266-014-0343-1
dc.identifier.endpage726en_US
dc.identifier.issn0364-216X
dc.identifier.issn1432-5241
dc.identifier.issue4en_US
dc.identifier.pmid24902916
dc.identifier.scopus2-s2.0-84911993629
dc.identifier.scopusqualityQ1
dc.identifier.startpage718en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-014-0343-1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/669
dc.identifier.volume38en_US
dc.identifier.wosWOS:000339866500014
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAygit, Ahmet Cemal
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofAesthetic Plastic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFree-Nipple Breast Reductionen_US
dc.subjectProjectionen_US
dc.subjectSuperior Pedicleen_US
dc.subjectSuperomedial Pedicleen_US
dc.titleThe free-nipple breast-reduction technique performed with transfer of the nipple-areola complex over the superior or superomedial pedicles
dc.typeArticle

Dosyalar