Advertisement

L-Wing Superior Pedicle Vertical Scar Mammaplasty

  • Norbert Pallua
  • Erhan Demir

The multitude of different techniques and modifications with regard to pedicle choice, scar position, and length or breast shaping reflects the challenge for every plastic surgeon to achieve an aesthetic shape with long-term stability and minimal scars in mammaplasty and mastopexy.

The past decade has been a witness to a paradigm shif in the treatment of macromastia and breast ptosis [1]. The wise pattern, inverted Thinferior pedicle breast reconstruction with of en clearly visible scars can no longer be accepted as the state of the art [2], as aesthetic improvement and scar reduction has become the new front line in breast reduction surgery [3]. Still, vertical scar techniques have not gained popularity in the United States as rapidly as in the Europe and South America. The development of the purely vertical incision mam-maplasty was introduced by Lötsch [4] and Dartigues [5] for mastopexy surgery. It was reintroduced for breast reduction by Arié [6], modified by Lassus [7, 8], and extended by Marchac and De Olarte [9]. Further, Lejour [10, 11] popularized a technique derived from Lassus. She combined a superior pedicle for the areola and a central resection for the breast reduction associated with liposuction and wide skin undermining along the vertical scar. Over the past years there has been greater interest in short scar breast surgery, with increasing appreciation of the vertical techniques for reduction and mastopexy.

Keywords

Nipple Areola Complex Breast Reduction Breast Shape Vertical Scar Skin Envelope 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Hammond DC: Short scar periareolar inferior pedicle reduction. Plast Reconstr Surg 1999;103(3):890–901CrossRefPubMedGoogle Scholar
  2. 2.
    Giovanoli P, Meuli-Simmen C, Meyer VE, Frey M: Which technique for which breast? A prospective study of differ-ent techniques of reduction mammaplasty. Br J Plast Surg 1999;52(1):52–59CrossRefPubMedGoogle Scholar
  3. 3.
    Greuse M, Hamdi M, DeMay A: Breast sensitivity after vertical mammaplasty. Plast Reconstr Surg 2001;107(4):970–976CrossRefPubMedGoogle Scholar
  4. 4.
    Lötsch F: Über hängebrustplastik. Zentralbl Chir 1923; 50:1241Google Scholar
  5. 5.
    Dartigues L: Chirurgie réparatrice. In: Lépine R (ed). Plastique et Esthétique de la Poitrine et de l'Abdomen. Paris 1924, pp 44–47Google Scholar
  6. 6.
    Arié G: Una nueva téchnica de mastoplasia. Rev Lat Am Cir Plast 1957;3:22Google Scholar
  7. 7.
    Lassus C: New refinements in vertical mammaplasty. Chir Plast 1981;6:81CrossRefGoogle Scholar
  8. 8.
    Lassus C: Breast reduction: evolution of a technique — a single vertical scar. Aesthetic Plast Surg 1987;11(2):107–112CrossRefPubMedGoogle Scholar
  9. 9.
    Marchac D, de Olarte G: Reduction mammaplasty and correction of ptosis with a short inframammary scar. Plast Reconstr Surg 1982;69(1):45–55CrossRefPubMedGoogle Scholar
  10. 10.
    Lejour M, Abboud M, Declety A, Kertesz P: Reduction des cicatrices de plastie mammaire: De l'ancre courte a la verticale. Ann Chir Plast Esthet 1990;35(5):369–379PubMedGoogle Scholar
  11. 11.
    Lejour M: Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg 1994;94(1):100–114CrossRefPubMedGoogle Scholar
  12. 12.
    Nahai F: Breast reduction with no vertical scar. Aesthetic Plast Surg 2004;28(5):354CrossRefPubMedGoogle Scholar
  13. 13.
    Pallua N: unpublished dataGoogle Scholar
  14. 14.
    Meyer R, Kesselring UR: Reduction mammaplasty with an L-shaped suture line. Development of different techniques. Plast Reconstr Surg 1975;55(2):139–148CrossRefPubMedGoogle Scholar
  15. 15.
    Pallua N, Ermisch CZ: “I” becomes “L”: modification of vertical mammaplasty. Plast Reconstr Surg 2003;111(6):1860–1870CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Norbert Pallua
    • 1
  • Erhan Demir
    • 2
  1. 1.Department of Plastic Reconstructive and Hand Surgery Burn CentreUniversity Hospital of the RWTH Aachen UniversityPauwelsstr., 30Germany
  2. 2.Department of Plastic Surgery and Hand Surgery Burn CentreUniversity Hospital RWTH AachenPauwelssstr 30Germany

Personalised recommendations