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At least 19 recordsLinked to original sources
PubMed1992

Factors affecting mammographic visualization of the breast after augmentation mammaplasty.

OBJECTIVE: To measure the effect of various parameters on mammographic visualization of the breast after augmentation mammaplasty. DESIGN: Preoperative and postoperative mammography was performed in patients undergoing augmentation mammaplasty. The area of breast tissue visualized on each film was measured. Changes in the area visualized were correlated with a variety of different parameters. SETTING: The Breast Center, Van Nuys, Calif, a free-standing multidisciplinary breast diagnostic and treatment facility. PATIENTS: The 68 women (126 breasts) represent a consecutive sample of patients undergoing augmentation mammaplasty for whom preoperative and postoperative mammograms were available. MAIN OUTCOME MEASURES: Area visualized was correlated with degree of capsular contracture, implant position, type of mammography, preoperative breast size, implant size, and implant type. RESULTS: The major factor affecting mammography is capsular contracture. Little or no capsular contracture results in a 30% reduction in the area visualized; moderate or severe contracture results in a 50% reduction. Other important factors include implant position (improved visualization with implant beneath pectoral muscle) and type of mammography performed (slightly more tissue seen with displacement technique). Very small preoperative breast size yields increased visualization. Implant size and type have little or no effect. CONCLUSIONS: In most women with breast implants, there is a decrease in measurable breast tissue on the postaugmentation mammogram. Capsular contracture and implant position exert a profound effect; type of mammography performed and preoperative breast size are also significant.

Adult↗
PubMed1976

Mammaplasty with curved incisions.

We present a modification of Pitanguy's technique of mammaplasty. Curved incisions are used and the breast tissue is resected on a horizontal plane. We have done this operation in 130 consecutive mammaplasties and have had no complications. The esthetic results have been good.

Adolescent↗
PubMed1978

Late results after reduction mammaplasty with curved incisions.

The results in 50 patients who had had mammaplasties done 3 years ago are described--both as regards the patients' opinions and the surgeon's assessments. The alterations that occur in breasts after reduction mammaplasty were studied, and also changes that may occur when the patient's weight increases or decreases.

Adolescent↗
PubMed1977

[Errors and hazards in mammaplasties].

Mistakes and dangers on mammaplasty and their possibilities of post correcture are discussed. There is demanded to do such mammaplasties only in special centres respectively by surgeons on gynaecologists who are specialised on it.

Breast↗
PubMed2026

Evidence-based insights into medial pedicle reduction mammaplasty: A systematic review and meta-analysis.

BACKGROUND: Breast reduction relieves the physical and psychosocial burden of macromastia. Medial pedicle reduction mammaplasty may enhance vascular reliability, preserve nipple-areola complex (NAC) sensation, and sustain upper pole fullness, even in large-volume reductions. The purpose of this study was to assess the outcomes of medial pedicle breast reduction. METHODS: A search across ScienceDirect, Cochrane, and PubMed was conducted. Included studies reported on perioperative outcomes and complications of medial pedicle breast reduction. Data on demographics, surgical variables, complications, sensory recovery, volumetric changes, and patient satisfaction were extracted. Proportion meta-analysis was performed, and odds ratios were calculated for comparison with inferior pedicle breast reduction. RESULTS: Twenty-five studies comprising 1033 patients met the inclusion criteria. Mean BMI ranged from 27 to 42 kg/m2, with mean resection weights between 412 and 3828 g. Mean surgical times ranged from 104 to 204 min. Pooled complication rates were low: infection 1%, seroma 1%, hematoma 1%, fat necrosis 2%, NAC necrosis 1%, dehiscence 8%, and reintervention 5%. Odds of complications did not differ significantly from inferior pedicle reductions. NAC sensation typically recovered by 6-12 months, with no long-term deficits. Volumetric analyses demonstrated stable breast shape after the first postoperative year, with superior upper pole tissue maintained. Patient satisfaction ranged 75-100%, with higher ratings for scar appearance and overall aesthetics in medial pedicle reductions. CONCLUSION: Medial pedicle breast reduction is a well-established and reproducible technique, preserving NAC sensation, achieving stable long-term shape, and enhancing upper pole fullness. It offers satisfactory aesthetic outcomes compared to other traditional methods, even in large-volume reductions.

Humans↗
PubMed1992

Reduction mammaplasty. A comparative study of the Orlando and Robbins methods in 292 patients.

Between January 1984 and November 1990 a total of 292 patients underwent reduction mammaplasty for hypertrophic breasts. Of these 233 had a superomedial pedicle (Orlando's method) and 36 an inferior pedicle (Robbins' method). Twenty-three had various other operations. Those operated on by Orlando's and Robbins' methods were compared retrospectively, and it was found that Robbins' method was superior in younger women because of increased sensitivity, particularly of the nipple-areola complex, and better lactation. In the physician's opinion ugly scars developed in 32% of the patients (n = 287). In our opinion wound closure with a subcuticular suture might improve the quality of the scar. Of the 287 patients assessed, 281 (98%) were satisfied with the physical, and 248 (86%) with the cosmetic, outcome of the operation.

Adolescent↗
PubMed1992

The effects of infiltration with adrenaline on blood loss during reduction mammaplasty.

Between March and November 1990 a prospective study of the effect of an infiltration of diluted adrenaline on bleeding during and after reduction mammaplasty was carried out in 12 consecutive patients. There was a significant reduction in blood loss to less than 50% of that from the non-infiltrated breasts. There was no signs of increased postoperative bleeding or reduced flap viability as a result of infiltration of adrenaline.

Adolescent↗
PubMed1992

[Reduction mammaplasty].

Twenty-eight breasts of 15 patients with macromastia underwent reduction mammaplasty from 1982 to 1989. We followed up these patients postoperatively for 6 months to 7 years. The follow-up time for 8 patients was over 1 year, and 4 patients over 5 years. And 3 patients labored and lactated. These 15 patients were satisfied with this operative results. The operative technology was based on Pitange's method. This method improved the site of the nipple, transposition of nipple-areola complex, and design of dermal pedicle, so that it had better effects in the breast shape, breast fixation and incision scar concealed. We suggest that the purpose of macromastia treated in reducing volume, improving breast shape, preserving lactating function. This paper also discusses the methods for nipple site, nipple-areola complex transposition, breast resection and mastopexy.

Adolescent↗
PubMed1992

[Reduction mammaplasty in breast hypertrophy].

Between January 1984 and November 1990 a total of 292 patients underwent reduction mammaplasty for hypertrophic breasts. Of these patients, 233 had a superomedial pedicle (Orlando's method) and 36 an inferior pedicle (Robbins' method). 23 had various other operations. The patients operated on by Orlando's and Robbins' method were compared retrospectively. It was found that Robbins' method was superior in younger women, owing to increased sensitivity of the nipple-areola complex, and lactation. In the physicians' opinion, wide scars developed in 32% of the patients. In our opinion closing the wound with intracutaneous suture might improve the quality of the scar. Of the patients assessed, 98% were satisfied with the physical outcome of the operation and 86% with the cosmetic outcome. The operative technique of the two methods is described.

Adolescent↗
PubMed1975

An areolar approach to reduction mammaplasty.

The authors present a new technique for selected cases of reduction mammaplasty and correction of ptosis, based solely on a aureolar approach. The skin is undermined, the glandular contents reduced if required and a mastopexy carried out. The excess skin is not removed but adapts itself to the new size and shape of the gland.

Breast Diseases↗
PubMed1979

Reduction mammaplasty using dermofat pedicles.

A technique for reduction mammaplasty is described which aims to preserve the maximum dermal blood and nerve supply to the nipple-areola complex. The procedure is suitable for the correction of all degrees of breast hypertrophy.

Adolescent↗
PubMed1975

Further experience with lateral wedge resection mammaplasties.

The lateral wedge resection method of reduction mammaplasty results in breasts with a single oblique radial scar in the outer quadrant, good contour, the nipples with sensation, erectile capacity and forward projection. It is suitable for cases of moderate enlargement and for ptotic breasts.

Breast↗
PubMed1978

Skeletal and postural relations in augmentation mammaplasty.

This paper provides an in-depth analysis of the thoracic skeletal architecture. The relationship between the skeletal configuration and its implications in augmentation mammaplasty are studied. Specific explanation regarding assymetry of the breast is given and caution for a more scrupulous examination prior to augmentation is advocated.

Breast↗
PubMed1979

Reduction mammaplasty utilizing an inferior pedicle nipple-areolar flap.

A technique utilizing the inferiorly based dermal pedicle nipple-areolar flap is described. The advantages of this technique are:(1) predictable breast shape based on preoperative markings; (2) direct visibility of all areas for ease of resection and hemostasis; (3) retention of normal nipple duct connections; (4) no impairment of subjective sensation; and (5) adequate blood supply. This technique has particular application in younger women, in whom nipple sensation is quite important. The interruption of the intercostal nerve branches is usually limited because of the thickness and width of the inferior pedicles. Utilizing our modifications of the technique originally described, this versatile flap can now be used routinely in reduction mammaplasties requiring the removal of either small amounts (200 gm) or quite large amounts (2,500 gm) of tissue with consistently satisfactory aesthetic results and excellent patient satisfaction.

Adult↗
PubMed1979

Augmentation mammaplasty associated with a severe systemic illness.

A case report of a systemic, near-fatal illness possibly related to augmentation mammaplasty with silicone gel prostheses is presented. Twenty-four hours after the augmentation procedure, the patient, a 32-year-old woman, developed a high fever followed by diffuse arthritis, renal failure, and bilateral pulmonary infiltrates. Shortly after removal of the prostheses, the patient's condition improved dramatically. Samples from blood, urine, sputum, and breast pockets collected at the time of prosthesis removal demonstrated silicone polymers. Evidence is presented that indicates the illness was not of infectious origin.

Acute Kidney Injury↗