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The Bivectorial Full-Thickness Superiorly Based NAC Flap: A New Option to Increase Plasticity and Decrease Tension in the Superior Pedicle Vertical Mammaplasty Technique

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Abstract

The standard split-thickness superior pedicle vertical mammaplasty technique sometimes suffers from tension on the nipple-areola complex (NAC). We suggest a bisected full-thickness superiorly based flap that offers two vectors for transposition within the context of superior pedicle vertical mammaplasty. The procedure increases both upper-pole fullness and projection of the breast while decreasing tension on the NAC. The surgical procedure presented contributes to a natural appearance of the breast. It should provide a useful and simple surgical option, increasing the versatility of the superior pedicle vertical mammaplasty technique.

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Authors and Affiliations

  1. Department of Plastic Surgery, Reconstructive and Hand Surgery, Burn Center, RWTH Aachen University, Pauwelsstr. 30, D-52057, Aachen, Germany

    Dan mon O’Dey, Erhan Demir & Norbert Pallua

Authors
  1. Dan mon O’Dey
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  2. Erhan Demir
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  3. Norbert Pallua
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Correspondence to Dan mon O’Dey.

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O’Dey, D.m., Demir, E. & Pallua, N. The Bivectorial Full-Thickness Superiorly Based NAC Flap: A New Option to Increase Plasticity and Decrease Tension in the Superior Pedicle Vertical Mammaplasty Technique. Aesth Plast Surg 32, 802–804 (2008). https://doi.org/10.1007/s00266-008-9207-x

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  • DOI: https://doi.org/10.1007/s00266-008-9207-x

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