The bivectorial full-thickness superiorly based NAC flap: a new option to increase plasticity and decrease tension in the superior pedicle vertical mammaplasty technique.
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.
O'Dey
Dan Mon
DM
Department of Plastic Surgery, Reconstructive and Hand Surgery, Burn Center, RWTH Aachen University, Aachen, Germany. D.m.ODey@t-online.de
Demir
Erhan
E
Pallua
Norbert
N
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