The inferior dermal-pyramidal type breast reduction: long-term evaluation
The evolution of the technique of breast reduction using an inferior dermal pyramidal flap is discussed, including the changes we have found to enhance this procedure. The recommended use of a wide-based pyramidal breast parenchyma with a dermal pedicle nipple-areola flap is based on our 12-year stu...
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| Veröffentlicht in: | Annals of plastic surgery 1989-09, Vol.23 (3), p.203-211 |
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| container_title | Annals of plastic surgery |
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| creator | GEORGIADE, G. S RIEFKOHL, R. E GEORGIADE, N. G |
| description | The evolution of the technique of breast reduction using an inferior dermal pyramidal flap is discussed, including the changes we have found to enhance this procedure. The recommended use of a wide-based pyramidal breast parenchyma with a dermal pedicle nipple-areola flap is based on our 12-year study of 1,001 breast reductions in 519 patients ranging in age from 13 to 73 years; 37 of the patients underwent a unilateral breast reduction. The weight of tissue excised ranged from 207 g to 3,350 g from each breast. Occult carcinomas were found in two of the breast specimens. The longest sternal notch-to-nipple distance was 52 cm. The essential goals of predictability of the result, retainment of nipple sensitivity, excellent aesthetic results, and the possibility of lactation are satisfied by the use of this surgical technique. This technique appears to have continued application in younger women, in whom nipple sensation and lactation are particularly important. |
| doi_str_mv | 10.1097/00000637-198909000-00003 |
| format | Article |
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This technique appears to have continued application in younger women, in whom nipple sensation and lactation are particularly important.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/00000637-198909000-00003</identifier><identifier>PMID: 2782819</identifier><identifier>CODEN: APCSD4</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Breast - blood supply ; Breast - innervation ; Breast - pathology ; Breast - surgery ; Female ; Humans ; Hypertrophy - surgery ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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E</creatorcontrib><creatorcontrib>GEORGIADE, N. G</creatorcontrib><title>The inferior dermal-pyramidal type breast reduction: long-term evaluation</title><title>Annals of plastic surgery</title><addtitle>Ann Plast Surg</addtitle><description>The evolution of the technique of breast reduction using an inferior dermal pyramidal flap is discussed, including the changes we have found to enhance this procedure. The recommended use of a wide-based pyramidal breast parenchyma with a dermal pedicle nipple-areola flap is based on our 12-year study of 1,001 breast reductions in 519 patients ranging in age from 13 to 73 years; 37 of the patients underwent a unilateral breast reduction. The weight of tissue excised ranged from 207 g to 3,350 g from each breast. Occult carcinomas were found in two of the breast specimens. The longest sternal notch-to-nipple distance was 52 cm. The essential goals of predictability of the result, retainment of nipple sensitivity, excellent aesthetic results, and the possibility of lactation are satisfied by the use of this surgical technique. This technique appears to have continued application in younger women, in whom nipple sensation and lactation are particularly important.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Breast - blood supply</subject><subject>Breast - innervation</subject><subject>Breast - pathology</subject><subject>Breast - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy - surgery</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Surgery, Plastic</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMtOwzAQRS0EKqXwCUheIHYGT5zYDjtU8ahUiU1ZR44fEOQ8sBOk_j0JDZ3NaO49MyNdhDDQO6C5uKdTcSYI5DKn-TiQSWEnaAkZ44QJKk_RkkIqiaApO0cXMX5RColM-QItEiETCfkSbXafFleNs6FqAzY21MqTbh9UXRnlcb_vLC6DVbHHwZpB91XbPGDfNh-kH2Fsf5Qf1KReojOnfLRXc1-h9-en3fqVbN9eNuvHLdEpS3vipISS8qykCYDLuANe8txyYzLmnLS5oYaB4KkpM6ZHNMmcchqkZYanXLMVuj3c7UL7PdjYF3UVtfVeNbYdYiHyBBLgcgTlAdShjTFYV3ShqlXYF0CLKcXiP8XimOKfxMbV6_nHUNbWHBfn2Eb_ZvZV1Mq7oBpdxSPGuZCcAfsF8rh6JQ</recordid><startdate>19890901</startdate><enddate>19890901</enddate><creator>GEORGIADE, G. S</creator><creator>RIEFKOHL, R. E</creator><creator>GEORGIADE, N. 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G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The inferior dermal-pyramidal type breast reduction: long-term evaluation</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>1989-09-01</date><risdate>1989</risdate><volume>23</volume><issue>3</issue><spage>203</spage><epage>211</epage><pages>203-211</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><coden>APCSD4</coden><abstract>The evolution of the technique of breast reduction using an inferior dermal pyramidal flap is discussed, including the changes we have found to enhance this procedure. The recommended use of a wide-based pyramidal breast parenchyma with a dermal pedicle nipple-areola flap is based on our 12-year study of 1,001 breast reductions in 519 patients ranging in age from 13 to 73 years; 37 of the patients underwent a unilateral breast reduction. The weight of tissue excised ranged from 207 g to 3,350 g from each breast. Occult carcinomas were found in two of the breast specimens. The longest sternal notch-to-nipple distance was 52 cm. The essential goals of predictability of the result, retainment of nipple sensitivity, excellent aesthetic results, and the possibility of lactation are satisfied by the use of this surgical technique. This technique appears to have continued application in younger women, in whom nipple sensation and lactation are particularly important.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>2782819</pmid><doi>10.1097/00000637-198909000-00003</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0148-7043 |
| ispartof | Annals of plastic surgery, 1989-09, Vol.23 (3), p.203-211 |
| issn | 0148-7043 1536-3708 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Breast - blood supply Breast - innervation Breast - pathology Breast - surgery Female Humans Hypertrophy - surgery Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Surgery, Plastic |
| title | The inferior dermal-pyramidal type breast reduction: long-term evaluation |
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