title: Avoiding the Unfavorable Outcome with Wise Pattern Breast Reduction.
abstract: Wise pattern breast reduction remains the most popular method of performing moderate- to large-sized breast reductions in the United States. Shape distortion after breast reduction can be a result of design flaw, execution of technique, or the result of postoperative complications. This article focuses primarily on optimal design and intraoperative techniques for prevention of shape distortion. By carefully considering the design of the skin resection pattern, choosing and designing an appropriate pedicle, preventing skin necrosis, and managing scars, shape distortion after Wise pattern breast reduction can be minimized.
authors.affiliation: Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, L352A, Portland, OR 97239, USA. Electronic address: hansenju@ohsu.edu.
authors.forename: Juliana E
authors.initials: JE
authors.lastname: Hansen
mesh_terms: D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control*; D013524:Surgical Flaps
keywords: Breast reduction; Inferior pedicle; Outcomes; Reduction mammaplasty; Wise pattern