Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification
Summary: Background: The modified McKissock breast reduction technique uses upper and lower vascular pedicles to reduce breast size and reshape the breasts. This technique has gained significant interest in recent years because of its potential to minimize surgical complications. The current study...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587823000773 |
| _version_ | 1827338875135066112 |
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| author | Hatan Mortada Eman A. Ibrahim Taghreed R. Alhumsi |
| author_facet | Hatan Mortada Eman A. Ibrahim Taghreed R. Alhumsi |
| author_sort | Hatan Mortada |
| collection | DOAJ |
| description | Summary: Background: The modified McKissock breast reduction technique uses upper and lower vascular pedicles to reduce breast size and reshape the breasts. This technique has gained significant interest in recent years because of its potential to minimize surgical complications. The current study aims to report our experience and results with our refined version of the McKissock technique. Methods: We conducted a prospective cohort study on patients with breast hypertrophy between 2022 and 2023 to evaluate the modified McKissock breast reduction technique. Two main alterations were made to the original McKissock technique. First, the superior pedicle was modified to create a superomedial pedicle. Second, the inferior pedicle was thinned to form a dermoseptal pedicle with a 4 cm wide base. Results: A total of 13 patients underwent surgery using the modified McKissock breast reduction technique. The average age of the patients was 37.2 years. For the right breast, the weight of tissue resected during reduction ranged from 189 g to 695 g (average 379 g). For the left breast, the resection weight range was 160 g to 608 g (average 370 g). There were no complications except one patient who developed partial nipple necrosis on the left side. All patients expressed satisfaction with the outcomes. Conclusion: Our modified McKissock breast reduction technique shows promise as a method for reducing breast size. It offers several potential advantages, including improved preservation of the nipple and areola complex, more precise breast shaping, contouring capabilities, and reduced risk of complications. Although the early results of this technique are encouraging, further research is required to evaluate its long-term benefits and risks fully. |
| first_indexed | 2024-03-07T19:41:53Z |
| format | Article |
| id | doaj.art-c421d7d5343246b89ce8996086637758 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-03-07T19:41:53Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-c421d7d5343246b89ce89960866377582024-02-29T05:19:29ZengElsevierJPRAS Open2352-58782024-03-01398188Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique ModificationHatan Mortada0Eman A. Ibrahim1Taghreed R. Alhumsi2Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University and Department of Plastic Surgery & Burn Unit, King Saud Medical City, Riyadh, Saudi ArabiaPrivate Practice, Riyadh, Saudi ArabiaPrivate Practice, Riyadh, Saudi Arabia; Corresponding author: Dr. Taghreed Alhumsi, MD, SB-PLAST, EBOPLAST, Private Practice, Riyadh, Saudi ArabiaSummary: Background: The modified McKissock breast reduction technique uses upper and lower vascular pedicles to reduce breast size and reshape the breasts. This technique has gained significant interest in recent years because of its potential to minimize surgical complications. The current study aims to report our experience and results with our refined version of the McKissock technique. Methods: We conducted a prospective cohort study on patients with breast hypertrophy between 2022 and 2023 to evaluate the modified McKissock breast reduction technique. Two main alterations were made to the original McKissock technique. First, the superior pedicle was modified to create a superomedial pedicle. Second, the inferior pedicle was thinned to form a dermoseptal pedicle with a 4 cm wide base. Results: A total of 13 patients underwent surgery using the modified McKissock breast reduction technique. The average age of the patients was 37.2 years. For the right breast, the weight of tissue resected during reduction ranged from 189 g to 695 g (average 379 g). For the left breast, the resection weight range was 160 g to 608 g (average 370 g). There were no complications except one patient who developed partial nipple necrosis on the left side. All patients expressed satisfaction with the outcomes. Conclusion: Our modified McKissock breast reduction technique shows promise as a method for reducing breast size. It offers several potential advantages, including improved preservation of the nipple and areola complex, more precise breast shaping, contouring capabilities, and reduced risk of complications. Although the early results of this technique are encouraging, further research is required to evaluate its long-term benefits and risks fully.http://www.sciencedirect.com/science/article/pii/S2352587823000773Breast reductionMcKissock's techniqueSuper and inferior vascular pediclesNipple and areola complex preservationComplicationsAesthetic outcomes |
| spellingShingle | Hatan Mortada Eman A. Ibrahim Taghreed R. Alhumsi Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification JPRAS Open Breast reduction McKissock's technique Super and inferior vascular pedicles Nipple and areola complex preservation Complications Aesthetic outcomes |
| title | Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification |
| title_full | Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification |
| title_fullStr | Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification |
| title_full_unstemmed | Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification |
| title_short | Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification |
| title_sort | modified mckissock s breast reduction technique a case series and description of our technique modification |
| topic | Breast reduction McKissock's technique Super and inferior vascular pedicles Nipple and areola complex preservation Complications Aesthetic outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S2352587823000773 |
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