title: The bivectorial full-thickness superiorly based NAC flap: a new option to increase plasticity and decrease tension in the superior pedicle vertical mammaplasty technique.
abstract: The standard split-thickness superior pedicle vertical mammaplasty technique sometimes suffers from tension on the nipple-areola complex (NAC). We suggest a bisected full-thickness superiorly based flap that offers two vectors for transposition within the context of superior pedicle vertical mammaplasty. The procedure increases both upper-pole fullness and projection of the breast while decreasing tension on the NAC. The surgical procedure presented contributes to a natural appearance of the breast. It should provide a useful and simple surgical option, increasing the versatility of the superior pedicle vertical mammaplasty technique.
authors.affiliation: Department of Plastic Surgery, Reconstructive and Hand Surgery, Burn Center, RWTH Aachen University, Aachen, Germany. D.m.ODey@t-online.de
authors.forename: Dan Mon
authors.initials: DM
authors.lastname: O'Dey
authors.forename: Erhan
authors.initials: E
authors.lastname: Demir
authors.forename: Norbert
authors.initials: N
authors.lastname: Pallua
mesh_terms: D000328:Adult; D001940:Breast / Q000473:pathology / Q000601:surgery*; D004548:Elasticity; D004954:Esthetics; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000473:pathology / Q000601:surgery; D016462:Mammaplasty / Q000379:methods*; D009558:Nipples / Q000098:blood supply / Q000601:surgery*; D017060:Patient Satisfaction; D018570:Risk Assessment; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult