Skip to main content

Advertisement

SpringerLink
Log in

Vertical Scar with the Bipedicle Technique: A Modified Procedure for Breast Reduction and Mastopexy

  • Original Article
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Reduction mammaplasty and mastopexy are commonly performed aesthetic procedures. One such procedure, the vertical scar technique, has gained popularity in recent years, and various types of pedicles have been designed and associated with it. The vertical scar with the bipedicle technique is one such combination that ensures nipple safety and minimizes scarring, with a good aesthetic result.

Method

With the vertical scar marked on the outside and the bipedicle flap marked on the inside, the procedure was performed for 23 patients.

Results

Between 2004 and 2006, 17 reduction mammoplasties and 6 mastopexies were performed. The average tissue resection was 360 g, and the average blood loss was 70 g. The average preoperative nipple–areolar complex was 28 cm (range, 23–41 cm). Good results were achieved for the majority of the patients, with no nipple loss or loss of sensation.

Conclusion

The vertical scar bipedicle technique, a combination that meets the requirement of minimum scarring and a robust blood supply to the nipple–areolar complex, is a suitable option for selected reduction mammaplasty and mastopexy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.
Fig. 7.
Fig. 8.
Fig. 9.
Fig. 10.
Fig. 11.

Similar content being viewed by others

References

  1. Arie G: Una nueva tecnica de mastoplastia. Rev Iber Latino Am Cir Plast 3:28, 1957

    Google Scholar 

  2. Asplund O, Davies DM: Vertcal scar breast reduction with medial flap or glandular transposition of the nipple–areola. Br J Plast Surg 49:507–514, 1996

    Article  PubMed  CAS  Google Scholar 

  3. Biesenberger H: Ein neue methode der mammoplastik. Zentralbl Chir 55:2382, 1928

    Google Scholar 

  4. Graf R, Ries de Araujo LR, Rippel R, Neto LG, Pace DT, Biggs T: Reduction mammoplasty and mastopexy using the vertical car and thoracic wall flap technique. Aesth Plast Surg. 27:6–12, 2003

    Article  Google Scholar 

  5. Hall-Findlay EJ: Pedicles in vertical breast reduction and mastopexy. Clin Plastic Surg 29:379–391, 2002

    Article  Google Scholar 

  6. Khan UD: Breast reduction using vertical scar bipedicle technique. 10th Congress of the European Society of Plastic. Reconstructive and Aesthetic Surgery, Vienna, OP429, 166, 2005

  7. Lassus C: A 30-year experience with vertical mammoplasty. Plast Reconstr Surg 97:373–380, 1996

    PubMed  Google Scholar 

  8. Lassus C: A technique for breast reduction. Int Surg 53:69, 1970

    PubMed  CAS  Google Scholar 

  9. Lassus C: Breast reduction: Evolution of a technique: A single vertical scar. Aesth Plast Surg 11:107–112, 1987

    Article  CAS  Google Scholar 

  10. Lejour M: Vertical mammoplasty and liposuction of the breast. Plast Reconst Surg 94:100–114, 1994

    Article  PubMed  CAS  Google Scholar 

  11. Lejour M: Vertical mammoplasty and liposuction of breast. Quality Medical Publishing: St. Louis, MO, 1994

    Google Scholar 

  12. Lejour M, Abboud M, DeClety A, Kertesz P: Reduction des cicatrices de plastie mammaire de l’ancre courte a la verticale. Ann Chir Plast Esthet 35:369–379, 1990

    PubMed  CAS  Google Scholar 

  13. Marchac D, De Olarte G: Reduction mammoplasty and correction of ptosis with a short inframammary scar. Plast Reconstr Surg 69:45–55, 1982

    Article  PubMed  CAS  Google Scholar 

  14. Marchac D, Saghar U: Mammoplasty with a short horizontal scar: Evaluation and results after 9 years. Clin Plast Surg 15:627–639, 1988

    PubMed  CAS  Google Scholar 

  15. McKissock PK: Reduction mammoplasty with a vertical dermal flap. Plast Reconstr Surg 49:245–252, 1972

    Article  PubMed  CAS  Google Scholar 

  16. Pitanguuy I: Surgical correction of breast hypertrophy. Br J Plast Surg 20:78, 1967

    Article  Google Scholar 

  17. Sarhadi NS, Soutar DS: Nerve supply of the nipple: Only from the fourth or from several intercostals nerves? A clinical experiment and an anatomical investigation. Eur J Plast Surg 20:209–211, 1997

    Article  Google Scholar 

  18. Skoog T: A technique of breast reduction: Transposition of the nipple on a cutaneous vascular pedicle. Acta Chir Scand 126:453–465, 1963

    PubMed  CAS  Google Scholar 

  19. Strombeck JO: Mammoplasty: Report of a new technique based on the two-pedicle procedure. Br J Plast Surg 13:79–90, 1960

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Belvedere Private Hospital, Abbeywood, Kneehill, SE2 0GD, United Kingdom

    Umar D. Khan F.R.C.S.

  2. Malling Place, 96 St. Leonard Street, Kent, ME19 6PD, West Malling, UK

    Umar D. Khan F.R.C.S.

Authors
  1. Umar D. Khan F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Umar D. Khan F.R.C.S..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Khan, U.D. Vertical Scar with the Bipedicle Technique: A Modified Procedure for Breast Reduction and Mastopexy. Aesth Plast Surg 31, 337–342 (2007). https://doi.org/10.1007/s00266-006-0243-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-006-0243-0

Keywords

Search

Navigation