title: Vertical scar breast reduction with medial flap or glandular transposition of the nipple-areola.
abstract: Vertical scar breast reduction is a well accepted technique which we believe improves the shape and projection of the breast and leaves no horizontal scars. Lassus and Lejour described superiorly based nipple flaps; we describe a medially based flap or glandular transposition of the nipple in small reductions. Fifty-seven consecutive patients are presented. Thirty-three patients had medial transposition of the nipple-areola with a mean resection of 608 g (range 220-1250 g). Twenty-four patients had a glandular transposition of the nipple-areola, with a mean resection of 380 g (range 220-600 g); transposition of the areola should be less than 5 cm in this group. After a short learning curve, the complications have been few and minor.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Charing Cross Hospital, London, UK.
authors.forename: O A
authors.initials: OA
authors.lastname: Asplund
authors.forename: D M
authors.initials: DM
authors.lastname: Davies
mesh_terms: D000328:Adult; D001940:Breast / Q000002:abnormalities*; D002921:Cicatrix / Q000473:pathology; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D009558:Nipples / Q000601:surgery*; D011183:Postoperative Complications; D011184:Postoperative Period; D013524:Surgical Flaps / Q000379:methods*; D016896:Treatment Outcome