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Inverted Keel Resection Breast Reduction

  • Ivo Pitanguy
  • Henrique N. Radwanski

Patients presenting with breast hypertrophy invariably complain of physical discomfort, especially of the skeletal system. Psychological evaluation many times reveals a state of unhappiness and self-consciousness, and may result in difficult social adaptation. In warm climates, as in Brazil, where participation in outdoor activities and sports is stimulated year-round, and where the media promote the use of lighter and more revealing attire, aesthetic complaints because of large, cumbersome breasts become more relevant. In our country, breast hypertrophy is among the most common contour deformities that present for surgical correction.

A personal modification of Arié's technique was initially presented in 1959, and published in the following year [1]. With the description of point A, which is the projection of the submammary sulcus along the midclavicular line, the vertical incision was extended above the nipple—areolar complex, with more satisfactory and longer-lasting results. Soon after, with the same principles, the Pitanguy technique [2], with the inverted keel resection, was developed for the treatment of large breast hypertrophy. These two procedures have served the purpose of approaching most aesthetic deformities of the breast, such as hypertrophy with or without ptosis, and represent the technical basis of many subsequent procedures.

Keywords

Dead Space Breast Augmentation Breast Reduction Excess Skin Midclavicular Line 
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.
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  2. 2.
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General References

  1. Goin MK: Psychological aspects of aesthetic surgery of the breast. In: Georgiade, N.D. (ed.). Aesthetic Surgery of the Breast. Philadelphia, Saunders 1990, p 19Google Scholar
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  3. Rees TD: Concepts of beauty. In: Rees TD (ed). Aesthetic Plastic Surgery. Philadelphia, Saunders 1980, p 1Google Scholar
  4. Baroudi R: Preoperative evaluation for breast surgery. In: Georgiade ND (ed). Aesthetic Surgery of the Breast. Philadelphia, Saunders 1990, p 19Google Scholar
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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Ivo Pitanguy
    • 1
  • Henrique N. Radwanski
    • 1
  1. 1.Ivo Pitanguy ClinicRio de JaneiroBrazil

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