Reduction mammoplasty with combined Pitanguy technique and Silveira Neto flap for nipple-areolar complex elevation
INTRODUCTION: Mammary hypertrophy is common, and has great clinical importance, affecting women both psychologically and functionally, especially when severe. To avoid vascular compromise and necrosis associated with reduction mammoplasty in cases with severe hypertrophy and ptosis, a safe option in...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2017-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1862/en_v32n3a07.pdf |
| _version_ | 1827608086224830464 |
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| author | Luciana Abdalla Rosa Gasparoni Farid Hakme |
| author_facet | Luciana Abdalla Rosa Gasparoni Farid Hakme |
| author_sort | Luciana Abdalla Rosa Gasparoni |
| collection | DOAJ |
| description | INTRODUCTION: Mammary hypertrophy is common, and has great clinical importance, affecting women both psychologically and functionally, especially when severe. To avoid vascular compromise and necrosis associated with reduction mammoplasty in cases with severe hypertrophy and ptosis, a safe option involves combined use of Pitanguy technique and a Silveira Neto areolar superomedial dermoglandular flap.
METHODS: Fourteen reduction mammoplasties were performed between April 2014 and July 2016 with the combined technique. Parenchymal resection ranged from 900 to 1,800 g, and the superior displacement distance of the nipple-areolar complex ranged from 5 to 15 cm. Vascular and scarring complications of the nipple-areolar complex were evaluated.
RESULTS: All patients reported satisfaction with the aesthetic and functional results obtained with surgery. A small area of sloughing where the inframammary crease and the vertical scar intersect was observed in 4 patients; healing occurred by second intention, without significant aesthetic sequelae. Neither sloughing nor partial or total necrosis of the nipple-areolar complex were observed, despite the significant elevation. Two cases of hypopigmentation of a small area at the areolar margin were observed.
CONCLUSION: The combined technique was successful in the treatment of prominent mammary hypertrophy, enabling safe reduction of large volumes, correction of severe ptosis, and significant elevation of the nipple-areolar complex. Good aesthetic and functional results were obtained, without vascular compromise of the nipple-areolar complex. |
| first_indexed | 2024-03-09T07:04:48Z |
| format | Article |
| id | doaj.art-107babf9771e458bb340de88b2b750c7 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T07:04:48Z |
| publishDate | 2017-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-107babf9771e458bb340de88b2b750c72023-12-03T09:41:02ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352017-09-01320334635210.5935/2177-1235.2017RBCP0058Reduction mammoplasty with combined Pitanguy technique and Silveira Neto flap for nipple-areolar complex elevationLuciana Abdalla Rosa Gasparoni0Farid Hakme1Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, BrazilHospital da Plástica, Rio de Janeiro, RJ, BrazilINTRODUCTION: Mammary hypertrophy is common, and has great clinical importance, affecting women both psychologically and functionally, especially when severe. To avoid vascular compromise and necrosis associated with reduction mammoplasty in cases with severe hypertrophy and ptosis, a safe option involves combined use of Pitanguy technique and a Silveira Neto areolar superomedial dermoglandular flap. METHODS: Fourteen reduction mammoplasties were performed between April 2014 and July 2016 with the combined technique. Parenchymal resection ranged from 900 to 1,800 g, and the superior displacement distance of the nipple-areolar complex ranged from 5 to 15 cm. Vascular and scarring complications of the nipple-areolar complex were evaluated. RESULTS: All patients reported satisfaction with the aesthetic and functional results obtained with surgery. A small area of sloughing where the inframammary crease and the vertical scar intersect was observed in 4 patients; healing occurred by second intention, without significant aesthetic sequelae. Neither sloughing nor partial or total necrosis of the nipple-areolar complex were observed, despite the significant elevation. Two cases of hypopigmentation of a small area at the areolar margin were observed. CONCLUSION: The combined technique was successful in the treatment of prominent mammary hypertrophy, enabling safe reduction of large volumes, correction of severe ptosis, and significant elevation of the nipple-areolar complex. Good aesthetic and functional results were obtained, without vascular compromise of the nipple-areolar complex.http://www.rbcp.org.br/export-pdf/1862/en_v32n3a07.pdfmammoplastybreast/abnormalitiesreconstructive surgical proceduressurgical flapsareola |
| spellingShingle | Luciana Abdalla Rosa Gasparoni Farid Hakme Reduction mammoplasty with combined Pitanguy technique and Silveira Neto flap for nipple-areolar complex elevation Revista Brasileira de Cirurgia Plástica mammoplasty breast/abnormalities reconstructive surgical procedures surgical flaps areola |
| title | Reduction mammoplasty with combined Pitanguy
technique and Silveira Neto flap for nipple-areolar
complex elevation |
| title_full | Reduction mammoplasty with combined Pitanguy
technique and Silveira Neto flap for nipple-areolar
complex elevation |
| title_fullStr | Reduction mammoplasty with combined Pitanguy
technique and Silveira Neto flap for nipple-areolar
complex elevation |
| title_full_unstemmed | Reduction mammoplasty with combined Pitanguy
technique and Silveira Neto flap for nipple-areolar
complex elevation |
| title_short | Reduction mammoplasty with combined Pitanguy
technique and Silveira Neto flap for nipple-areolar
complex elevation |
| title_sort | reduction mammoplasty with combined pitanguy technique and silveira neto flap for nipple areolar complex elevation |
| topic | mammoplasty breast/abnormalities reconstructive surgical procedures surgical flaps areola |
| url | http://www.rbcp.org.br/export-pdf/1862/en_v32n3a07.pdf |
| work_keys_str_mv | AT lucianaabdallarosagasparoni reductionmammoplastywithcombinedpitanguytechniqueandsilveiranetoflapfornippleareolarcomplexelevation AT faridhakme reductionmammoplastywithcombinedpitanguytechniqueandsilveiranetoflapfornippleareolarcomplexelevation |