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Cirugía Plástica Ibero-Latinoamericana
On-line version ISSN 1989-2055Print version ISSN 0376-7892
Abstract
RUDOLPH GEISSE, Armin. Breast reduction with central pedicle and dermis mesh. Cir. plást. iberolatinoam. [online]. 2021, vol.47, n.1, pp.35-48. Epub Aug 02, 2021. ISSN 1989-2055. https://dx.doi.org/10.4321/s0376-78922021000100006.
Background and objective.
Looking to improve on the aesthetic and functional results in breast reduction, we add to the central pedicle technique the use of a dermis mesh shaping and support forming a central cone to manage the mammary tissue. The periareolar skin agglomeration searches for a reduction in the size of the horizontal submammary scars.
We describe this combination of techniques and analyze a series of patients.
Methods.
We conduct a retrospective analysis of a series of 300 patients operated in a period of 17 years.
Results.
It is possible to combine these techniques des-cribed in the literature. The central pedicle has a good vascular support and innervation, with low complication rates, obtai- ning a good result, with minimum nipple-areola complex and inferior pole ptosis.
Conclusions.
This combination of techniques is versatile for managing the volume and symmetry of the mammary gland and for nipple-areola complex mobilization. The dermis mesh produces a projected and stable central cone that when is covered by the skin, results in a more aesthetic, firmer mammary gland, with minimum ptosis on the long term and high patients´ satisfaction.
Keywords : Reduction mammoplasty; Central pedicle; Dermis mesh.