Application of liposuction technique assisted superomedial pedicle with vertical incision in reduction mammaplasty_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YANG Zhibin ,  LI Facheng , HAN Xuefeng , CAI Lei , YIN Bo

Department of Body Contouring and Liposuction Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100144, P.R.China;

Corresponding author：

LI Facheng, Email: drlfc@sina.com

Keywords：

Reduction mammaplasty; breast hypertrophy; mastoptosis; superomedial pedicle; liposuction

DOI：

10.7507/1002-1892.201910043

Video：

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Objective To explore the effectiveness of liposuction technique assisted superomedial pedicle with a vertical incision in reduction mammaplasty.Methods Between March 2014 and March 2019, 65 patients (127 sides) with breast hypertrophy had undergone breast reduction by using liposuction technique assisted superomedial pedicle with a vertical incision. The patients were 21 to 58 years old, with an average of 42.2 years. Body mass index ranged from 18.8 to 26.5 kg/m², with an average of 21.3 kg/m². Among them, 62 cases were bilateral operations and 3 cases were unilateral operation. The degree of mastoptosis was rated as degreeⅡ in 73 sides and degree Ⅲ in 54 sides according to the Regnault criteria.Results The unilateral breast removed 432 g on average (range, 228-932 g); the distance of nipple upward was 4.5-9.5 cm (mean, 6.5 cm); the volume of unilateral liposuction was 50-380 mL (mean, 148 mL). There were 2 sides (1.58%) of unilateral intramammary hematomas after operation, 4 sides (3.15%) of bilateral breast vertical incisions slightly split, and 1 side (0.79%) of the nipple-areola epidermis necrosis. All patients were followed up 6 months to 5 years, with an average of 18 months. During the follow-up, there was no evident re-dropping of the breast and no enlargement of the areola. No patient underwent scar excision. At last follow-up, the effectiveness was evaluated by the surgeons. There were 52 cases with very satisfactory, 10 cases with satisfactory, and 3 cases with unsatisfactory for the breast shape and symmetry. There were 51 cases with very satisfactory, 11 cases with satisfactory, and 3 cases with unsatisfactory for the nipple position and areola diameter. The incision scar was obvious in 25 cases and was not obvious in 40 cases. The results of self-assessment showed very satisfactory for the breast shape in 48 cases, satisfactory in 12 cases, and unsatisfactory in 5 cases; very satisfactory for the incision scar in 40 cases, satisfactory in 17 cases, and unsatisfactory in 8 cases. Overall evaluation of the patient was very satisfactory in 52 cases, satisfactory in 7 cases, and unsatisfactory in 6 cases.Conclusion The liposuction technique assisted superomedial pedicle with a vertical incision in reduction mammaplasty is a safe and reliable surgical method with a satisfactory result.

Citation： YANG Zhibin, LI Facheng, HAN Xuefeng, CAI Lei, YIN Bo. Application of liposuction technique assisted superomedial pedicle with vertical incision in reduction mammaplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(6): 775-780. doi: 10.7507/1002-1892.201910043 Copy

1.	Spear SL. Grabb and Smith’s Plastic Surgery. 6th ed. Philadelphia: Lippincott, Williams&Willkins, 2007: 593-603.
2.	Muslu Ü. The evolution of breast reduction publications: a bibliometric analysis. Aesthetic Plast Surg, 2018, 42(3): 679-691.
3.	Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg, 1999, 104(3): 748-759.
4.	Ron O, Inbal A, Arad E, et al. Superomedial pedicle vertical scar breast reduction: objective and subjective assessment of breast symmetry and aesthetics. Aesthetic Plast Surg, 2018, 42(3): 639-647.
5.	Lista F, Austin RE, Singh Y, et al. Vertical scar reduction mammaplasty. Plast Reconstr Surg, 2015, 136(1): 23-25.
6.	Swanson E. A matched cohort study of superomedial pedicle vertical scar breast reduction (100 breasts) and traditional inferior pedicle wise-pattern reduction (100 breasts): an outcomes study over 3 years. Plast Reconstr Surg, 2014, 133(6): 883e-885e.
7.	Yuksel F, Karagoz H, Sever C, et al. Experience with vertical mammaplasty: advantages and drawbacks of Hall-Findlay’s superomedial pedicle technique and improving the results by adding modifications to the technique. Aesthetic Plast Surg, 2012, 36(6): 1329-1333.
8.	Serra MP, Longhi P, Sinha M. Breast reduction with a superomedial pedicle and a vertical scar (Hall-Findlay’s technique): experience with 210 consecutive patients. Ann Plast Surg, 2010, 64(3): 275-278.
9.	Regnault P. Breast ptosis. Definition and treatment. Clin Plast Surg, 1976, 3(2): 193-203.
10.	罗盛康, 陈光平. 隆乳术及乳房缩小术的研究及进展. 中国美容整形外科杂志, 2010, 21(2): 65-67.
11.	Lassus C. Breast reduction: evolution of a technique-a single vertical scar. Aesthetic Plast Surg, 1987, 11(2): 107-112.
12.	Lejour M, Abboud M, Declety A, et al. Reduction of mammaplasty scars: from a short inframammary scar to a vertical scar. Ann Chir Plast Esthet, 1990, 35(5): 369-379.
13.	Hall-Findlay EJ, Shestak KC. Breast reduction. Plast Reconstr Surg, 2015, 136(4): 531e-544e.
14.	亓发芝, 张勇, 冯自豪, 等. 保留乳腺横膈内上蒂垂直切口瘢痕乳房缩小术. 中华医学美学美容杂志, 2014, 20(6): 405-408.
15.	Akyurek M, Chappell AG. Short-scar mammaplasty in severe macromastia. Ann Plast Surg, 2016, 77(6): 609-614.
16.	Matthews JL, Oddone-Paolucci E, Lawson DM, et al. Vertical scar breast reduction: Does gathering the incision matter? Ann Plast Surg, 2016, 77(1): 25-31.
17.	Würinger E, Mader N, Posch E, et al. Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg, 1998, 101(6): 1486-1493.
18.	Maia M, Pinto C. Bipedicle vertical mammoplasty associated with liposuction/lipotunnelization. Aesthetic Plast Surg, 2017, 41(3): 499-506.
19.	杨智斌, 李发成. 乳房血供及乳房缩小术的研究进展. 中国修复重建外科杂志, 2019, 33(7): 907-911.

1. Spear SL. Grabb and Smith’s Plastic Surgery. 6th ed. Philadelphia: Lippincott, Williams&Willkins, 2007: 593-603.
2. Muslu Ü. The evolution of breast reduction publications: a bibliometric analysis. Aesthetic Plast Surg, 2018, 42(3): 679-691.
3. Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg, 1999, 104(3): 748-759.
4. Ron O, Inbal A, Arad E, et al. Superomedial pedicle vertical scar breast reduction: objective and subjective assessment of breast symmetry and aesthetics. Aesthetic Plast Surg, 2018, 42(3): 639-647.
5. Lista F, Austin RE, Singh Y, et al. Vertical scar reduction mammaplasty. Plast Reconstr Surg, 2015, 136(1): 23-25.
6. Swanson E. A matched cohort study of superomedial pedicle vertical scar breast reduction (100 breasts) and traditional inferior pedicle wise-pattern reduction (100 breasts): an outcomes study over 3 years. Plast Reconstr Surg, 2014, 133(6): 883e-885e.
7. Yuksel F, Karagoz H, Sever C, et al. Experience with vertical mammaplasty: advantages and drawbacks of Hall-Findlay’s superomedial pedicle technique and improving the results by adding modifications to the technique. Aesthetic Plast Surg, 2012, 36(6): 1329-1333.
8. Serra MP, Longhi P, Sinha M. Breast reduction with a superomedial pedicle and a vertical scar (Hall-Findlay’s technique): experience with 210 consecutive patients. Ann Plast Surg, 2010, 64(3): 275-278.
9. Regnault P. Breast ptosis. Definition and treatment. Clin Plast Surg, 1976, 3(2): 193-203.
10. 罗盛康, 陈光平. 隆乳术及乳房缩小术的研究及进展. 中国美容整形外科杂志, 2010, 21(2): 65-67.
11. Lassus C. Breast reduction: evolution of a technique-a single vertical scar. Aesthetic Plast Surg, 1987, 11(2): 107-112.
12. Lejour M, Abboud M, Declety A, et al. Reduction of mammaplasty scars: from a short inframammary scar to a vertical scar. Ann Chir Plast Esthet, 1990, 35(5): 369-379.
13. Hall-Findlay EJ, Shestak KC. Breast reduction. Plast Reconstr Surg, 2015, 136(4): 531e-544e.
14. 亓发芝, 张勇, 冯自豪, 等. 保留乳腺横膈内上蒂垂直切口瘢痕乳房缩小术. 中华医学美学美容杂志, 2014, 20(6): 405-408.
15. Akyurek M, Chappell AG. Short-scar mammaplasty in severe macromastia. Ann Plast Surg, 2016, 77(6): 609-614.
16. Matthews JL, Oddone-Paolucci E, Lawson DM, et al. Vertical scar breast reduction: Does gathering the incision matter? Ann Plast Surg, 2016, 77(1): 25-31.
17. Würinger E, Mader N, Posch E, et al. Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg, 1998, 101(6): 1486-1493.
18. Maia M, Pinto C. Bipedicle vertical mammoplasty associated with liposuction/lipotunnelization. Aesthetic Plast Surg, 2017, 41(3): 499-506.
19. 杨智斌, 李发成. 乳房血供及乳房缩小术的研究进展. 中国修复重建外科杂志, 2019, 33(7): 907-911.

Chinese Journal of Reparative and Reconstructive Surgery

Application of liposuction technique assisted superomedial pedicle with vertical incision in reduction mammaplasty

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