[Vertical mammaplasty using the skin wrinkling suture techniques].
OBJECTIVE
To reduce the incision scar produced by reduction mammaplasty.


METHODS
The periareola incision and the vertical incision below the areola were made when performing breast reduction. The incision in the submammary fold was avoided. The breast was suspended and moulded. The redundant skin and the long skin incision below the areola were sutured utilizing the skin wrinkling suture techniques. The wrinkling skin and incision became flat gradually due to the elasticity of the tissue itself.


RESULTS
13 cases have been treated with the techniques mentioned above. All incisions healed primarily and there were no complications such as hematoma, infection and necrosis of skin or areola. Of them, 3 patients with very large and ptotic breasts needed small corrective operations to excise the redundant skin that still existed 6 months postoperatively. The shape of the breasts and the vertical incision scars of the other patients were satisfactory.


CONCLUSIONS
The vertical mammaplasty using the skin wrinkling suture techniques can be used in breast reduction of various sizes, owing to the advantages of consistent, good and stable result, simplicity to perform and grasp and no scar in the submammary fold.
Liu
Yuan-bo
YB
Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041, China.
Xu
Jun
J
Mu
Lan-hua
LH
Jin
Xiao-lei
XL
Yan
Xiao-qing
XQ
Yang
Hong-yan
HY
Yu
Hao
H
D000328:Adult; D019928:Breast Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome