Individualized Wise Keyhole Pattern: An Aid in Reduction Mammaplasty of the Asymmetric Breasts

  • Aycan Kayikçioğlu
  • Yücel Erk

Despite various modifications, the Wise keyhole pattern is the golden standard in planning the amount of reduction to be performed on the hypertrophic breasts [1–4]. Asymmetry of the breast remains a troublesome deformity, and achieving symmetry in volume and shape may be challenging. Because of the variations in the clinical presentation of asymmetric breasts, differ-ent combinations of either reduction or augmentation surgery would be required.

The authors have devised a technique for individualized keyhole pattern in the treatment of asymmetric breasts, when the surgical solution is simply the reduction and reshaping of the larger breast to fit to the smaller one.


Breast Size Large Breast Plaster Coverage Intrinsic Variability Small Breast 
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    Parsons RW: Versatile mammaplasty pattern of Wise. Plast Reconstr Surg 1975;55(1):1–4CrossRefPubMedGoogle Scholar
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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

  • Aycan Kayikçioğlu
    • 1
  • Yücel Erk
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryHacettepe University Medical FacultySihhiyeTurkey

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