Assessment Outcome of Laterals Based Dermo Glandular Flap for Breast Contouring in Free Nipple Graft Reduction Mammoplasty
Keywords:
Hypertrophy, ptosis, reduction mammoplasty, free nipple graftAbstract
Background: in patient with major hypertrophy and ptosis a free nipple dermoglandular flap is procedure of choice a major limitation of this technique is in sufficient
breast projection, using of lateral based dermo-glandular flap can added additional tissue
to increase projection and good filling.
Methods: Marking based on principle of breast; when excised tissue made, marked for
diamond dermo- glandular flap from breast tissue before to excise then de- epithelized
and fix on pectoral fascia.
Results: 8 cases done by this technique; the depending criteria include major breast
hypertrophy and ptosis more than 1500 g, Nipple -areolar transposition >15 cm; no major
complication just superficial Slugging of nipple areolar graft, that heal spontaneously
with good improvement in symptoms and good breast projection and Shape
Conclusions: using lateral based dermo-glandular flap give good shape and breast
projection and effective in major breast hypertrophy and Ptosis.
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