[Does the choice of mammoplasty pedicle influence the shape of reduced the reduced-sized breast?].
Thirty seven patients with breast hypertrophy were restrospectively reviewed with a mean follow-up of 2 years. Reduction mammoplasty was performed with 3 different pedicles (superior, inferior and both) involving a glandular resection of a least 500 g on each side in all cases. The results were evaluated according to both objective and subjective criteria. The choice of pedicle had a considerable influence on the results. The vertical limb usually increased with time (months), although its intraoperative length was 5 cm. The increasing length of the vertical limb varies according to the type of pedicle chosen. The mean length increase was 1.52 cm; 4.18 cm; 4.15 cm for superior, inferior, and both pedicles respectively. The different increase was statistically significant (p < 0.001) when the technic involving a superior pedicle was compared to a technic involving an inferior pedicle. No statistically significant difference was observed between technics using the inferior and both pedicles. A superior pedicle technic entails the lowest increase of the vertical limb length which in turns leads to better long-term cosmetic results.
Rodier-Bruant
C
C
Service de Stomatologie, Chirurgie Maxillo-Faciale et Plastique Reconstructrice, Hôpitaux Universitaires de Strasbourg.
Wilk
A
A
Rosenstiel
M
M
Nisand
G
G
Meyer
C
C
D000328:Adult; D001940:Breast / Q000473:pathology / Q000601:surgery; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy; D016462:Mammaplasty / Q000379:methods*; D012189:Retrospective Studies
Le choix du pédicule de mammoplastie influence-t-il la forme du sein réduit?