Cellulite Research Today is a free monthly online journal that collates and summarizes the latest research about Cellulite, including details on treatment, reduction, removal, cures.

Minimal-scar breast reduction and mastopexy.

Pedron M

Rua Dr. Barbosa Gonçalves, 660 Barrio Chácara das Pedras, Porto Alegre, RS 91330-320, Brazil. mlpedron@terra.com.br

BACKGROUND: Classic breast reduction and mastopexy techniques leave a vertical scar, but are difficult to apply in cases requiring a large amount of breast tissue removal. This report describes a new breast reduction technique using a vertical incision for resections involving less than 600 g of tissue removal and an inverted T incision for larger resections. Results for the new technique are reported. METHODS: For 800 women, the reported technique was used for reduction mammaplasty (n=640) and mastopexy (n=160). Peridural anesthesia was used for 90% of the patients, and general anesthesia for 10%. The minimum follow-up period was 6 months for 90% of the patients. All the patients underwent mammary x-ray and ultrasonography before surgery. RESULTS: A short scar was obtained for all the patients. A new intervention for breast reduction was chosen by 16 patients (2%). For all the patients followed, the immediate results (projection of the areola and upper pole) remained unaltered at a late follow-up evaluation. There were no cases of infection or seroma. Hematoma occurred in 8 patients who underwent unilateral breast reconstruction, and 16 patients experienced temporary reduced sensitivity. CONCLUSIONS: The new technique was effective in leaving a short scar and maintaining immediate results in the long term. Liposuction limited to the lateral chest wall prevented complications associated with breast tissue.

Published 31 August 2005 in Aesthetic Plast Surg, 29(4): 261-73.
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