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Choosing a Technique in Breast Reduction

  • Donald A. Hudson

The perfect procedure to reduce the breast has been sought for centuries. Kraske [1], modifying the technique of Lexer [2], suggested an inverted Thpattern consisting of an inferior vertical wedge glandular excision and a vertical and transverse ellipse of skin. However, lack of understanding of the blood supply to the nipple– areola complex (NAC) led to erratic results, and there was a time when a two-stage procedure was advocated.

Schwarzmann, in 1930 [3], advanced the concept of a dermal pedicle using a superior and medial dermal cutaneous pedicle bridge to the NAC. This improved the safety of the procedure. The search for a reproducible design led Wise [4] to modify the pattern of Nedhoff, which led to the keyhole markings. Wise used a full thickness graffor the NAC.

Keywords

Breast Reduction Inframammary Fold Inferior Pedicle Vertical Limb Skin Retraction 
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.
    Kraske II: Die operation der atropischen und hypertrophis-chen hangebrust. Munch Med Wschr 1923;60:672–673Google Scholar
  2. 2.
    Lexer E: Hypertrophie bei der mammae. Munchen Med Wochenschr 1912;59:2702Google Scholar
  3. 3.
    Schwartzmann E: Die technik der mammaplastik. Chirur-gica 1930;2:932–943Google Scholar
  4. 4.
    Wise RJ: Preliminary report on method of planning the mammaplasty. Plast Reconstr Surg 1956;17:367–375CrossRefGoogle Scholar
  5. 5.
    Courtiss EH, Goldwyn RM: Reduction mammaplasty by the inferior pedicle technique: an alternative to free nipple and areola grafting for severe macromastia or extreme ptosis. Plast Reconstr Surg 1977;59(1): 500–507CrossRefPubMedGoogle Scholar
  6. 6.
    Robbins TH: A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle. Plast Reconstr Surg 1977;59(1):64–67CrossRefPubMedGoogle Scholar
  7. 7.
    Lassus C: A technique for breast reduction. Int Surg 1970;53:69PubMedGoogle Scholar
  8. 8.
    Lejour M: Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg 1994;94(1):100–114CrossRefPubMedGoogle Scholar
  9. 9.
    Hall-Findlay EJ: A simplified vertical reduction mammo-plasty: Shortening the learning curve. Plast Reconstr Surg 1999:104(3):748–759CrossRefPubMedGoogle Scholar
  10. 10.
    Palmer JH, Taylor GI: The vascular territories of the anterior chest wall. Br J Plast Surg 1986;39(3):287–299CrossRefPubMedGoogle Scholar
  11. 11.
    Goes JC: Periareolar mammaplasty with mixed mesh support. The double skin technique. Oper Tech Plast Surg 1996:3:199–205CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Donald A. Hudson
    • 1
  1. 1.Department of Plastic Reconstructive and Maxillofacial SurgeryGroote Schuur HospitalCape TownSouth Africa

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