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Expanding Usage of Superior Pedicled Techniques with Reducing Resistance in the Pedicle by Lipoaspiration

  • Original Article
  • Breast Surgery
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Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Despite the advantages of the superior pedicles in breast reduction, there are some limitations with this technique. The mobility of the pedicle may be augmented by liposuction in the pedicle area which may relieve tissue resistance and decrease pedicle compression in order to overcome circulation problems. In fact, the indications of breast reduction using superior pedicles may be expanded by liposuction in the pedicle area.

Methods

The patients who underwent breast reduction with superior pedicle techniques between March 2014 and November 2020 and whose pedicle resistances were decreased by liposuction were included in this study. Internal breast morphology was classified into three groups based on the morphology of the periareolar tissues. Group 1 breasts were lipomatous, Group 2 breasts were lipo-glandular and Group 3 breasts were fibroglandular. During the short-term follow-up, the circulation of the nipple-areola complex (NAC) was evaluated both clinically and with an hand held Doppler device. The long-term aesthetic results were evaluated at the postoperative twelfth month with a visual analogue scale.

Results

One hundred eighty-nine patients with either Group 1 or Group 2 breasts were included in this study. The mean age of the patients was 38.3 years. The mean follow-up period was 31.7 months. Neither partial nor total NAC loss was observed and none of the patients had bottoming-out deformity.

Conclusion

Liposuction to the pedicle area is an effective and reliable method that both reduces the resistance in the pedicle and overcomes the circulation problems in certain patient groups (groups 1 and 2), increases the mobilization of the pedicle, reduces the breast to the desired size and prevents bottoming-out in the long term and increases the use of superior pedicle techniques. According to our clinical results, it was demonstrated that pedicle vascular mapping with preoperative Doppler sonography was not necessary in these patients.

Level of Evidence IV

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.springer.com/00266.

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Funding

This study did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Plastic Reconstructive and Aesthetic Surgery, Private Acıbadem Maslak Hospital, 34457, Sarıyer, İstanbul, Turkey

    Mehmet Sağır & Erdem Güven

Authors
  1. Mehmet Sağır
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  2. Erdem Güven
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Corresponding author

Correspondence to Mehmet Sağır.

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Conflict of interest

All named authors hereby declare that they have no conflicts of interest to disclose.

Human and Animal Rights Statement

An institutional ethics committee approval was not required for this study design.

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All patients were informed before the surgery, and informed consent was obtained from all patients.

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Sağır, M., Güven, E. Expanding Usage of Superior Pedicled Techniques with Reducing Resistance in the Pedicle by Lipoaspiration. Aesth Plast Surg 48, 905–913 (2024). https://doi.org/10.1007/s00266-022-03241-7

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  • DOI: https://doi.org/10.1007/s00266-022-03241-7

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