Combination of Wuringer's Horizontal Septum and Inferior Pedicle Techniques to Increase Nipple-Areolar Complex Viability During Breast Reduction Surgery

Kelahmetoglu O., Firinciogullari R., Yagmur C., YILDIZ K., Guneren E.

AESTHETIC PLASTIC SURGERY, vol.41, no.6, pp.1311-1317, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 41 Issue: 6
  • Publication Date: 2017
  • Doi Number: 10.1007/s00266-017-0933-9
  • Journal Name: AESTHETIC PLASTIC SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1311-1317
  • Keywords: Breast reduction, Wuringer's septum, Inferior pedicle, Nipple-areolar complex, Viability, MAMMAPLASTY, SUSPENSION, GIGANTOMASTIA, COMPLICATIONS, SENSATION, DISTANCE, LENGTH
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

Breast reduction techniques depend on the vascularity of the pedicle. Preserving vascularity of the nipple-areolar complex (NAC) is mandatory for reduction mammoplasties, as the NAC is the most important aesthetic and functional unit of the breast. The inferior pedicle technique is the most common method for breast reduction; however, pedicle length may increase after using this technique and cause problems related to NAC viability in gigantomastic and hypertrophic breasts. In this study, we present our technical approach to preserve NAC viability by combining Wuringer's horizontal septum and inferior pedicle techniques.