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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.

Keywords

Skin Flap Stainless Steel Wire Fixed Pattern Reduction Mammaplasty Vertical Limb 
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.
    Wise RJ, Gannon J P, Hill JR: Further experience with reduction mammaplasty. Plast Reconstr Surg 1963;12:32Google Scholar
  2. 2.
    Wise RJ: A preliminary report on method of planning the mammaplasty. Plast Reconstr Surg 1956;17:367–375CrossRefGoogle Scholar
  3. 3.
    Strombeck JO: Mammaplasty: report of a new technique based on the two pedicle procedure. Br J Plast Surg 1960;13:79–90CrossRefPubMedGoogle Scholar
  4. 4.
    Skoog T: A technique of breast reduction. Acta Chir Scand 1963;126:453–465PubMedGoogle Scholar
  5. 5.
    Georgiade NG: Breast Reconstruction Following Mastectomy. St. Louis, Mosby 1979, p 101Google Scholar
  6. 6.
    Georgiade GS, Rief ohl RE, Georgiade NG: Inferior pyramidal technique in reduction mammaplasty. In: Goldwyn RM (ed). Reduction Mammaplasty. Boston, Little, Brown and Co. 1990, pp 268–269Google Scholar
  7. 7.
    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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