<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922021000100006</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922021000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mamoplastia de reducción con pedículo central y malla de dermis]]></article-title>
<article-title xml:lang="en"><![CDATA[Breast reduction with central pedicle and dermis mesh]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rudolph Geisse]]></surname>
<given-names><![CDATA[Armin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="Aa "/>
<xref ref-type="aff" rid="Af1"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de La Frontera Facultad de Medicina Departamento de Cirugía y Traumatología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="A1a">
<institution><![CDATA[,Clínica Alemana  ]]></institution>
<addr-line><![CDATA[Temuco ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="A1b">
<institution><![CDATA[,Clínica Mayor  ]]></institution>
<addr-line><![CDATA[Temuco ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>47</volume>
<numero>1</numero>
<fpage>35</fpage>
<lpage>48</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922021000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922021000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922021000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. Buscando mejorar los resultados estéticos y funcionales de la mamoplastía de reducción, agregamos a la técnica de pedículo central el armado y soporte con malla de dermis, formando un cono central para manejar el tejido mamario. La aglomeración de piel periareolar busca reducir las cicatrices submamarias horizontales. Describimos la asociación de técnicas quirúrgicas y el análisis de los resultados obtenidos en una serie de pacientes.  Material y método. Análisis retrospectivo de una serie de 300 pacientes operadas de forma consecutiva en un periodo de 17 años.  Resultados. Muestran que es posible combinar las técnicas descritas en la literatura. El pedículo central tiene un buen soporte vascular e inervación, con pocas complicaciones, y proporciona buen resultado con mínima ptosis del complejo areola-pezón y del polo inferior.  Conclusiones. La combinación de técnicas analizada es versátil para manejar el volumen, la simetría de la mama y para movilizar el complejo areola-pezón. La malla de dermis produce un cono central proyectado y estable que al ser cubierto por la piel, obtiene una mama estética, más firme, con mínima ptosis en el tiempo y una alta satisfacción de las pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mamoplastía reducción]]></kwd>
<kwd lng="es"><![CDATA[Pedículo central]]></kwd>
<kwd lng="es"><![CDATA[Malla dermis]]></kwd>
<kwd lng="en"><![CDATA[Reduction mammoplasty]]></kwd>
<kwd lng="en"><![CDATA[Central pedicle]]></kwd>
<kwd lng="en"><![CDATA[Dermis mesh]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pitanguy]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical treatmen of breast hypertrophy]]></article-title>
<source><![CDATA[Br. J. Plast. Surg.]]></source>
<year>1967</year>
<volume>20</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>78-85</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Georgiade]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reduction mammaplasty utilizing the inferior pedicle nipple-areolar flap]]></article-title>
<source><![CDATA[Ann. Plast. Surg.]]></source>
<year>1979</year>
<volume>3</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>211-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McKissock]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reduction Mammaplasty by the Vertical Bipedicle Flap Technique: Rationale and Results]]></article-title>
<source><![CDATA[Clin. Plast. Surg.]]></source>
<year>1976</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>309-20</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balch]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The central mound technique for reduction mammaplasty]]></article-title>
<source><![CDATA[Plast. Recontr. Surg.]]></source>
<year>1981</year>
<volume>67</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>305-11</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hester]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Breast Reduction utilizing the maximally vascularized central breast pedicle]]></article-title>
<source><![CDATA[Plast. Recontr. Surg.]]></source>
<year>1985</year>
<volume>76</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>890-900</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calderon]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mamoplastía de Reducción con incisión periareolar: anatomía y clínica del pedículo central]]></article-title>
<source><![CDATA[Cir. plást .iberolatinoam.]]></source>
<year>2016</year>
<volume>42</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>21-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical applications of the central pedicle technique of the breast reduction]]></article-title>
<source><![CDATA[Operat. Tech.Plast. Recontr. Surg]]></source>
<year>1996</year>
<volume>3</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>176-83</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grant]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The maximally vascularized central pedicle breast reduction: evolution of a technique]]></article-title>
<source><![CDATA[Ann.Plast. Surg.]]></source>
<year>2001</year>
<volume>46</volume>
<page-range>584-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[See]]></surname>
<given-names><![CDATA[M-H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Central pedicle reduction mammaplasty: a reliable technique]]></article-title>
<source><![CDATA[Gland. Surg.]]></source>
<year>2014</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>51-4</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Delong]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Central Mound Pedicle: A Safe and EffectiveTechnique for Reduction Mammaplasty]]></article-title>
<source><![CDATA[Plast. Recontr. Surg.]]></source>
<year>2020</year>
<volume>146</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>725-33</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Góes]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Periareolar mammaplasty: Doble skin technique with application of Polyglactine or mixed mesh]]></article-title>
<source><![CDATA[Plast. Reconstr. Surg.]]></source>
<year>1996</year>
<volume>97</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>959-68</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Góes]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Periareolar mastopexy: Doble skin technique with mesh support]]></article-title>
<source><![CDATA[Aesthetic. Surg. J.]]></source>
<year>2003</year>
<volume>23</volume>
<page-range>129-35</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benelli]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A new periareolar mammaplasty: The "Round Block" technique]]></article-title>
<source><![CDATA[Aesthetic. Surg. J.]]></source>
<year>1990</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>93-100</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Souto]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Impact of Breast Reduction Surgery on Breast feeding Performance]]></article-title>
<source><![CDATA[Journal of Human Lactation]]></source>
<year>2003</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>43-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yépez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mamoplastía de reducción con cicatrices pequeñas para grandes hipertrofias mamarias o gigantomastias]]></article-title>
<source><![CDATA[Cir. plást. iberolatinoam.]]></source>
<year>2013</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wirthmann]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reduction mammaplasty in adolescents and elderly: A ten-year case series analyzing age related outcome with focus on safety and complications]]></article-title>
<source><![CDATA[J of Plast Recons &#1031;amp; Aesth Surg]]></source>
<year>2018</year>
<volume>71</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>377-83</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gulcelik]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early Complications of a Reduction Mammaplasty Technique in theTreatment of Macromastia With or Without Breast Cancer]]></article-title>
<source><![CDATA[Clinical Breast Cancer]]></source>
<year>2011</year>
<volume>11</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>395-9</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fischer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complications Following Reduction Mammaplasty: A Review of 3538 Cases From the 2005-2010 NSQIP Data Sets]]></article-title>
<source><![CDATA[Aesth Surg J]]></source>
<year>2014</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>66-73</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Srinivasaiah]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk Factors for Complications Following Breast Reduction: Results from a Randomized Control Trial]]></article-title>
<source><![CDATA[The Breast Journal]]></source>
<year>2014</year>
<volume>20</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>274-8</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk Factors for Complications after Reduction Mammaplasty: A Meta-Analysis]]></article-title>
<source><![CDATA[Plos One]]></source>
<year>2016</year>
<volume>11</volume>
<numero>12</numero>
<issue>12</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
