Trigos-Micoló I

Language: Spanish
References: 22
Page: 71-77
PDF size: 524.95 Kb.

ABSTRACT

Fifty-three teenagers with gigantomastia and reduction mammaplasty performed before they were 19 years old with an inferior central pedicle flap technique and resection of 1,520 to 3,040 g (mean of 1,710 g) and follow up from five to eleven years are presented. A questionnaire showed 100% satisfaction with the procedure, improvement in physical upset, body image and self confidence; 95% of them would have the same surgery again. 93% have recommended the procedure to other patients; 76% are now married and 53% have had at least one baby. 64% were able to breast feed normally. Long-term evaluation, showed 76% had vertical scar and the inferior mammary hemisphere elongation, with flaccidity and upper mammary loss volume; 40% declared tolerable disgust and uncomfort with the resulting scars, and 30% had hypoesthesia in their nipples without reason for complaining. At the end of their pregnancies, 13% was operated again to correct form, this second surgery was considered strictly aesthetic and one patient had mammary subpectoral implants put in; placed as a complement.

REFERENCES

1. Robbins TH. A reduction mammaplasty with the areola nipple based on an inferior dermal pedicle. Plast Reconstr Surg 1977; 59: 64-71.

2. Courtiss EH, Goldwyn RM. Reduction mammaplasty by the inferior pedicle technique. Plast Reconstr Surg 1977; 59: 500-508.

3. Trigos-Micoló I. Patrón guía para la planeación preoperatoria de la mastoplastia reductiva y mastopexias. Cir Plast 1995: 5: 30-36.

4. Adams WM. Transplantation of the nipples and areolae. Surgery 1944; 15:186-192.

5. Thorek M. Plastic reconstruction of the breast and free transplantation of the nipple. Int Surg 1946; 9: 194-199.

6. Strombeck JO. Mammaplasty: Report of a new technique based on the two pedicle procedure. Br J Plast Surg 1960; 13: 79-88.

7. Skoog T. A technique of breast reduction: transposition of the nipple on a cutaneous vascular pedicle. Act Scand 1963; 126: 453-459.

8. McKissock PK. Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg 1972; 49: 245-251.

9. Kroll SS. A comparison of de-epithelization and de-skinning in inferior pedicle breast reduction. Plast Reconstr Surg 1988; 81: 913-918.

10. Wise RJ. Treatment of breast hypertrophy. Clin Plast Surg 1976; 3: 289-300.

11. McKissock PK. Reduction mammaplasty with a vertical dermal flap: Rationale and results. Clin Plast Surg 1976; 3: 309-320.

12. Wise RJ, Gannon JP, Hill JR. Further experience with reduction mammaplasty. Plast Reconstr Surg 1963; 32: 12-18.

13. Courtiss EH, Goldwyn RM. Breast sensation before and after plastic surgery. Plast Reconstr Surg 1976; 58: 1-13.

14. Pers M, Nielsen IM, Gerner N. Results following reduction mammaplasty as evaluated by patients. Ann Plast Surg 1986; 17: 449-445.

15. Reus WF, Mathes SJ. Preservation of projection after reduction mammaplasty. Long term follow up of the inferior pedicle technique. Plast Reconstr Surg 1988; 82: 644-650.

16. Georgiade G, Riefkohl R, Georgiade N. The inferior dermal pyramidal type breast reduction: Long term evaluation. Ann Plast Surg 1989; 23: 203- 208.

17. Serletti JM, Reading G, Caldwell E, et al. Long term patient satisfaction following reduction mammaplasty. Ann Plast Surg 1992; 28, 363-365

18. McMahan JD, Wolfe JA, Cromer BA, Ruberg RL. Lasting success in teenagers reduction mammaplasty. Ann Plast Surg 1995; 35: 227-231.

19. Marchac D, Sagher V. Mammaplasty with short horizontal scar: Evaluation and results after 9 years. Clin Plast Surg 1988; 15: 627-640.

20. Hinderer U. The dermal brassiere mammaplasty. Clin Plast Surg 1976; 3: 349-370.

21. Bustos RA. Periareolar mammaplasty with silicon supporting lamina. Plast Reconstr Surg 1992; 89: 646-651.

22. Trigos-Micoló I, Santamaría E. Uso en cirugía plástica de la bioprótesis de pericardio bovino tratado con glutaraldehído. Cir Cir 1994; 61: 85-92.