Template-Goniometer for Marking the Wise Keyhole Pattern of Reduction Mammaplasty

  • Dirk Lazarus

Despite an increase in short scar mammaplasties, the Wise keyhole pattern still remains the most common skin incision used in reduction mammaplasty. It allows for flexibility in the method of nipple/areola transposition and gives a predictable result.

Wise and colleagues [1, 2] originally described special latex patterns of three separate sizes for accurate design of skin flaps. Wise stated that the patterns greatly simplified the procedure, allowing the surgeon to design the skin flaps rapidly and to attain a measured breast reduction with confidence. Predictable size, contour, and nipple placement and symmetry would be achieved. Strombeck [3] and Skoog [4] also used fixed patterns for preoperative marking.


Skin Flap Stainless Steel Wire Fixed Pattern Reduction Mammaplasty Vertical Limb 
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    Lazarus D: A new template-goniometer for marking the Wise keyhole pattern of reduction mammaplasty. Plast Reconstr Surg 1998;101(1):171–173CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Dirk Lazarus

There are no affiliations available

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