Systematic Approach for Management and Prevention of Boxy Breast
Background:. Although a boxy breast is a common aesthetic problem following breast reduction and mastopexy, literature regarding this deformity is scarce. It is vaguely described as a definitive postreduction deformity. To address this complication, it is important to fully analyze the problem, unde...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2021-06-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003640 |
| _version_ | 1798032164763205632 |
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| author | Rasha Abdelkader, MD Sameh El-Noamany, MD Sarah Raafat, MSc |
| author_facet | Rasha Abdelkader, MD Sameh El-Noamany, MD Sarah Raafat, MSc |
| author_sort | Rasha Abdelkader, MD |
| collection | DOAJ |
| description | Background:. Although a boxy breast is a common aesthetic problem following breast reduction and mastopexy, literature regarding this deformity is scarce. It is vaguely described as a definitive postreduction deformity. To address this complication, it is important to fully analyze the problem, understand and predict its causes, and then try to prevent it.
Methods:. This study included two groups. Group 1 included 14 patients presenting with boxy postoperative breasts. Revision surgeries were conducted for all patients, and the first algorithm was created for quantifying breast surgery in revision cases. Group 2 included 37 cases of primary mammaplasty reduction/mastopexy performed between 2016 and 2019. All the patients in this group were treated as per the study algorithm.
Results:. Patient satisfaction was measured on a scale of one to 10, with one being extremely dissatisfied and 10 being extremely satisfied. The results indicated overall satisfaction, with average scores of 9.5 and 9.1 in groups 1 and 2, respectively; the scores of surgeon satisfaction were 8.2 and 8.6, respectively.
Conclusions:. The proposed algorithm, preoperative markings, intraoperative techniques, and postoperative orientation may help achieve optimal results and prevent undesired deformities or asymmetry. Applying a flexible and simplified algorithm provided a more objective plan, which enabled surgeons to attain more satisfactory results. Following a preset quantified plan supported and shortened learning curves and objectively addressed the common postoperative complication, breast boxing. |
| first_indexed | 2024-04-11T20:09:26Z |
| format | Article |
| id | doaj.art-8ffdc01a00ae47d0909c9fa9fece8ddb |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-11T20:09:26Z |
| publishDate | 2021-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8ffdc01a00ae47d0909c9fa9fece8ddb2022-12-22T04:05:11ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-06-0196e364010.1097/GOX.0000000000003640202106000-00032Systematic Approach for Management and Prevention of Boxy BreastRasha Abdelkader, MD0Sameh El-Noamany, MD1Sarah Raafat, MSc2From the Department of Plastic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.From the Department of Plastic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.From the Department of Plastic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.Background:. Although a boxy breast is a common aesthetic problem following breast reduction and mastopexy, literature regarding this deformity is scarce. It is vaguely described as a definitive postreduction deformity. To address this complication, it is important to fully analyze the problem, understand and predict its causes, and then try to prevent it. Methods:. This study included two groups. Group 1 included 14 patients presenting with boxy postoperative breasts. Revision surgeries were conducted for all patients, and the first algorithm was created for quantifying breast surgery in revision cases. Group 2 included 37 cases of primary mammaplasty reduction/mastopexy performed between 2016 and 2019. All the patients in this group were treated as per the study algorithm. Results:. Patient satisfaction was measured on a scale of one to 10, with one being extremely dissatisfied and 10 being extremely satisfied. The results indicated overall satisfaction, with average scores of 9.5 and 9.1 in groups 1 and 2, respectively; the scores of surgeon satisfaction were 8.2 and 8.6, respectively. Conclusions:. The proposed algorithm, preoperative markings, intraoperative techniques, and postoperative orientation may help achieve optimal results and prevent undesired deformities or asymmetry. Applying a flexible and simplified algorithm provided a more objective plan, which enabled surgeons to attain more satisfactory results. Following a preset quantified plan supported and shortened learning curves and objectively addressed the common postoperative complication, breast boxing.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003640 |
| spellingShingle | Rasha Abdelkader, MD Sameh El-Noamany, MD Sarah Raafat, MSc Systematic Approach for Management and Prevention of Boxy Breast Plastic and Reconstructive Surgery, Global Open |
| title | Systematic Approach for Management and Prevention of Boxy Breast |
| title_full | Systematic Approach for Management and Prevention of Boxy Breast |
| title_fullStr | Systematic Approach for Management and Prevention of Boxy Breast |
| title_full_unstemmed | Systematic Approach for Management and Prevention of Boxy Breast |
| title_short | Systematic Approach for Management and Prevention of Boxy Breast |
| title_sort | systematic approach for management and prevention of boxy breast |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003640 |
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