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Breast reduction 2015Breast reduction 2015
Dr sumer yadavDr sumer yadav Mch plastic and reonstructive surgeryMch plastic and reonstructive surgery
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Breast is the symbol of femininity .It is a Breast is the symbol of femininity .It is a source of maternal and sexual feelings source of maternal and sexual feelings and is often the initiating focus of sexual and is often the initiating focus of sexual intimacy. Its feel, sensation and intimacy. Its feel, sensation and appearance, nurture the development of appearance, nurture the development of warm, interpersonal relationshipwarm, interpersonal relationship
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DefinitionDefinition
Surgical reduction of breast volume to Surgical reduction of breast volume to achieve a smaller, aesthetically shaped achieve a smaller, aesthetically shaped breast mound with concomitant relief of breast mound with concomitant relief of the potential symptoms of mammary the potential symptoms of mammary hypertrophyhypertrophy
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Breast EmbryologyBreast Embryology
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Breast AnatomyBreast Anatomy
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Breast AnatomyBreast Anatomy
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Breast AnatomyBreast Anatomy
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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History History
Strombeck(1960)-Horizontal bipedicleStrombeck(1960)-Horizontal bipediclePitanguy,Weiner(1962)-superior pediclePitanguy,Weiner(1962)-superior pedicleSkoog(1963)-Superolateral pedicleSkoog(1963)-Superolateral pedicleMcKissock(1972)-Vertical bipedicleMcKissock(1972)-Vertical bipedicleCourtiss,Goldwyn, Georgiade, Ribiero, Courtiss,Goldwyn, Georgiade, Ribiero, Robbins(1975-1977)- Inferior pedicleRobbins(1975-1977)- Inferior pedicleOrlando(1975)-superomedial pedicleOrlando(1975)-superomedial pedicleBiesenberger(1928),Hester(1985) – central Biesenberger(1928),Hester(1985) – central moundmound
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Contd. Contd. Vertical and short scar techniques Vertical and short scar techniques
Vertical scar -Lassus, Lejour, Vertical scar -Lassus, Lejour, Hammond(SPAIR), Hall Findlay (1970 - Hammond(SPAIR), Hall Findlay (1970 - 1999)1999) Vertical scar with short inframammary scar –Vertical scar with short inframammary scar –Marchac peixoto(1980-1982)Marchac peixoto(1980-1982)B or J scar reduction – Regnault & B or J scar reduction – Regnault & Chiari(1970-1974)Chiari(1970-1974) Periareolar reduction – Periareolar reduction – Benelli,Sampao-Benelli,Sampao-Goes (1990-1996) Goes (1990-1996)
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Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Evaluation Of Breast EnlargementEvaluation Of Breast Enlargement
HistoryHistorySymptomsSymptomsRisk factorsRisk factorsScarring tendencies Scarring tendencies Reasons for wanting surgeryReasons for wanting surgeryh/o nipple sensationh/o nipple sensationSmoking historySmoking historyType of workType of workGeneral medical conditionGeneral medical condition
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ProblemProblem
Macromastia-is developmental increase in Macromastia-is developmental increase in breast volume & weight. Reduction breast volume & weight. Reduction mammoplasty is indicated for symptomatic mammoplasty is indicated for symptomatic relief as well as aesthetic improvement relief as well as aesthetic improvement
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EtiologyEtiology
MutifactorialMutifactorial -genetic-genetic -obesity-obesity -pregnancy-pregnancyVirginal hypertrophyVirginal hypertrophyGigantomastia Gigantomastia
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Physical ExaminationPhysical ExaminationComplete general examinationComplete general examination
Local breast examinationLocal breast examination
-previous breast surgery-previous breast surgery -expected reduction volume-expected reduction volume -nipple-areola size &shape-nipple-areola size &shape -asymmetry-asymmetry -nipple sensation-nipple sensation -right & left nipple to sternal notch -right & left nipple to sternal notch
measurement measurement -right to left nipple to inframammary fold -right to left nipple to inframammary fold
measurement measurementDr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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InvestigationsInvestigations
RoutineRoutine
SpecificSpecific - Mammography - > 35 yrs.- Mammography - > 35 yrs. -Ultrasound evaluation-Ultrasound evaluation - Psychological evaluation & counseling- Psychological evaluation & counseling
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Pre-op PhotographsPre-op Photographs
Front & lateral viewFront & lateral viewMarks at the normal nipple heightMarks at the normal nipple heightNipple in relation to elbowNipple in relation to elbowShoulder groovesShoulder grooves
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TREATMENT PLANNINGTREATMENT PLANNING
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Indications for surgeryIndications for surgery
Major Major – very large breast– very large breast shoulder painshoulder pain cervical & upper thoracic paincervical & upper thoracic pain
severe embarrassmentsevere embarrassment recurrent intertrigorecurrent intertrigo
Minor Minor – inability to exercise due to breast – inability to exercise due to breast discomfortdiscomfortdifficulty with breathing during difficulty with breathing during
exerciseexercisegrooving & hyper pigmentation of grooving & hyper pigmentation of shoulder strap areasshoulder strap areas
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ContraindicationsContraindicationsAbsolute-Absolute-extreme obesityextreme obesity inadequate cardiac, pulmonary, inadequate cardiac, pulmonary, renal reserverenal reserve current or recent lactationcurrent or recent lactation unevaluated breast mass or unevaluated breast mass or mammographic findings mammographic findings
Relative Relative - current smoking history- current smoking history > 30% ideal body wt. obesity> 30% ideal body wt. obesity inappropriate psychiatric evaluationinappropriate psychiatric evaluation Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon ,
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Selection of techniqueSelection of technique
Depends onDepends on- beast size- beast size- estimated resection volume- estimated resection volume- breast shape- breast shape- more elusive concept of - more elusive concept of appearance appearance
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Selection of techniqueSelection of technique
Breast hypertrophyBreast hypertrophy Mild - (resection < 200gm./ side)Mild - (resection < 200gm./ side) Moderate - (resection 200-500gm./ side)Moderate - (resection 200-500gm./ side) Severe - (resection 500-1500gm./ side) Severe - (resection 500-1500gm./ side) Gigantic - (resection > Gigantic - (resection > 1500gm./ side)1500gm./ side)
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Operative techniqueOperative technique
Liposuction- assisted reductionLiposuction- assisted reductionWise pattern marking designWise pattern marking design
McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Petanguy superior pedicle techniquePetanguy superior pedicle technique Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique Free nipple graft techniqueFree nipple graft technique Central parenchymal pedicle Central parenchymal pedicle
techniquetechniqueDr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon ,
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Short scar techniqueShort scar technique Vertical MammoplastyVertical Mammoplasty Hall-Findlay Vertical scar MammoplastyHall-Findlay Vertical scar Mammoplasty Vertical reduction with short horizontal scarVertical reduction with short horizontal scar Marchac(1982)Marchac(1982) L-shaped scar reductionL-shaped scar reduction B techniqueB technique Horizontal scar reductionHorizontal scar reduction Periareolar reductionPeriareolar reduction Benelli round block procedureBenelli round block procedure Goes procedureGoes procedure Hammond SPAIR techniqueHammond SPAIR technique
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Liposuction- assisted reductionLiposuction- assisted reductionGrazer & Teimourian (1985 )Grazer & Teimourian (1985 )Matarasso & Courtiss (1991)Matarasso & Courtiss (1991)Selection criteriaSelection criteria– Elastic skin & predominantly fatty breastElastic skin & predominantly fatty breast– Wishing conservative reductionWishing conservative reduction
Advantages Advantages – Preserve the glandular tissues, vessels, & nervesPreserve the glandular tissues, vessels, & nerves– If used as adjunct with reduction surgery reduces If used as adjunct with reduction surgery reduces
blood lossblood loss
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Liposuction- assisted reductionLiposuction- assisted reduction
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Wise pattern marking designWise pattern marking design
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
HistoryHistory– Modification of Strombeck procedure(1972)Modification of Strombeck procedure(1972)AdvantagesAdvantages– Well vascularised pedicleWell vascularised pedicle– Excellent exposureExcellent exposure– Maintenance of superior pole massMaintenance of superior pole mass– Good long term result with breast shapeGood long term result with breast shape– Flexibility in designFlexibility in designDisadvantagesDisadvantages– Sensory return – 65% Sensory return – 65% – Nipple retractionNipple retraction
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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McKissock vertical bipedicle McKissock vertical bipedicle techniquetechnique
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Biesenberger reductionBiesenberger reduction
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STROMBECK HORIZONTAL BIPEDICLE TECHSTROMBECK HORIZONTAL BIPEDICLE TECH
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
HistoryHistory– Arie(1957) – first describedArie(1957) – first described– Ivo Petanguy (1967) – modification Ivo Petanguy (1967) – modification AdvantagesAdvantages– Best applied to breast reduction < 500gmBest applied to breast reduction < 500gm– Excellent long term breast shapeExcellent long term breast shape– Well vascularised pedicleWell vascularised pedicle– Preservation of nipple sensationPreservation of nipple sensation– Lack of interference with breast feedingLack of interference with breast feeding
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 63: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/63.jpg)
Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 64: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/64.jpg)
Pitanguy superior pedicle techniquePitanguy superior pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 65: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/65.jpg)
pitanguypitanguy
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 66: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/66.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 67: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/67.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
HistoryHistory– Georgiade et al (1979)Georgiade et al (1979)AdvantagesAdvantages– Very versatile – use for reduction from 300-1500gmVery versatile – use for reduction from 300-1500gm– Long lasting result even with ptosis & macromastiaLong lasting result even with ptosis & macromastia– Well vascularised pedicleWell vascularised pedicle– Less chances of nipple retractionLess chances of nipple retraction– Excellent glandular exposureExcellent glandular exposure– Maintenance of nipple sensibility Maintenance of nipple sensibility CriticismCriticism– Flat breast with inadequate projectionFlat breast with inadequate projection
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 68: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/68.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 69: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/69.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 70: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/70.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 71: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/71.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 72: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/72.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 73: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/73.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 74: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/74.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 75: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/75.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 76: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/76.jpg)
Inferior pyramidal pedicle techniqueInferior pyramidal pedicle technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 77: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/77.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 78: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/78.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 79: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/79.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 80: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/80.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 81: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/81.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 82: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/82.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 83: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/83.jpg)
SUPEROMEDIAL PEDICLE WITH WISE PATTERNSUPEROMEDIAL PEDICLE WITH WISE PATTERN
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 84: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/84.jpg)
Free nipple graft techniqueFree nipple graft techniqueProcedure of choice in the treatment of Procedure of choice in the treatment of gigantomastiagigantomastiaIt is a composite graft of skin, smooth muscle & It is a composite graft of skin, smooth muscle & ductal elementsductal elementsAdvantagesAdvantages– Rapid execution with minimal blood lossRapid execution with minimal blood loss– Maintenance of glandular shapeMaintenance of glandular shapeDisadvantagesDisadvantages– Loss of nipple sensibilityLoss of nipple sensibility– Loss of lactating abilityLoss of lactating ability
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 85: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/85.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 86: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/86.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 87: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/87.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 88: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/88.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 89: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/89.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 90: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/90.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 91: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/91.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 92: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/92.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 93: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/93.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 94: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/94.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 95: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/95.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 96: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/96.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 97: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/97.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 98: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/98.jpg)
Free nipple graft techniqueFree nipple graft technique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 99: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/99.jpg)
Schwarzmann tech Schwarzmann tech
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 100: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/100.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
HistoryHistory– Hester & associates (1985)Hester & associates (1985)– Modified technique Biesenberger (1928) & Wise Modified technique Biesenberger (1928) & Wise
(1956,1963)(1956,1963)AdvantagesAdvantages– Well vascularised pedicleWell vascularised pedicle– Minimal difficulty with nipple transpositionMinimal difficulty with nipple transposition– Minimal pre-operative markingsMinimal pre-operative markings– Preservation of breast feeding & lactationPreservation of breast feeding & lactation– Preservation of nipple-areola sensationPreservation of nipple-areola sensation
DisadvantagesDisadvantages– Experience is required to perform freehand reductionExperience is required to perform freehand reduction
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 101: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/101.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 102: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/102.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 103: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/103.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 104: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/104.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 105: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/105.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 106: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/106.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 107: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/107.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 108: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/108.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 109: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/109.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 110: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/110.jpg)
Central parenchymal pedicle Central parenchymal pedicle techniquetechnique
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 111: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/111.jpg)
Central mound tech by hesterCentral mound tech by hester
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 112: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/112.jpg)
Vertical MammoplastyVertical Mammoplasty
Lassus(1964) emphasizedLassus(1964) emphasized– Use of superior pedicle, inferior pyramidal Use of superior pedicle, inferior pyramidal
glandular resection, no skin undermining & glandular resection, no skin undermining & closure with a vertical scar only closure with a vertical scar only
Lejour(1999) Lejour(1999) – Modified Lassus techniqueModified Lassus technique– Prior liposuction of the breastPrior liposuction of the breast– Superior pedicle for the nipple-areola complexSuperior pedicle for the nipple-areola complex– Lower pole resectionLower pole resection– New breast mound from suture plication of New breast mound from suture plication of
lateral pillarslateral pillarsDr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 113: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/113.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 114: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/114.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 115: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/115.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 116: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/116.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 117: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/117.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 118: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/118.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 119: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/119.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 120: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/120.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 121: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/121.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 122: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/122.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 123: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/123.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 124: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/124.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 125: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/125.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 126: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/126.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 127: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/127.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 128: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/128.jpg)
Vertical MammoplastyVertical Mammoplasty
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 129: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/129.jpg)
LISTA TECH……………………LISTA TECH……………………
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 130: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/130.jpg)
LISTA TECHLISTA TECH
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 131: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/131.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 132: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/132.jpg)
LISTA TECHLISTA TECH
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 133: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/133.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
![Page 134: reduction mammoplasty](https://reader035.vdocuments.site/reader035/viewer/2022062218/589d2f881a28abeb478b7651/html5/thumbnails/134.jpg)
Dr sumer yadav - mch plastic surgeon , Dr sumer yadav - mch plastic surgeon , [email protected]@gmail.com
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Hall-Findlay Vertical scar Hall-Findlay Vertical scar MammoplastyMammoplasty
Variation of vertical scar themeVariation of vertical scar themeMedial pedicle with inferolateral gland Medial pedicle with inferolateral gland resectionresectionParticularly effective for small to moderate Particularly effective for small to moderate reductionreductionForms a conical, well supported breastForms a conical, well supported breast
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Hall-Findlay Vertical scar Hall-Findlay Vertical scar MammoplastyMammoplasty
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Vertical reduction with short horizontal Vertical reduction with short horizontal scarscar
Marchac (1982)Marchac (1982)Central resection with vertical closure Central resection with vertical closure having a horizontal component was an having a horizontal component was an integral part of the pre-operative skin integral part of the pre-operative skin resection designresection design
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Marchac(1982)Marchac(1982)
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B & L-shaped scar reductionB & L-shaped scar reduction
Regnault (1974) – B technique Regnault (1974) – B technique mammoplasty that eliminated the medial mammoplasty that eliminated the medial component of the horizontal scarcomponent of the horizontal scar– Nipple is preserved on superomedial pedicleNipple is preserved on superomedial pedicle– Inferolateral glandular resectionInferolateral glandular resection
Born (1994) - modified L scar techniqueBorn (1994) - modified L scar technique– Medial triangular flap interdigitating with Medial triangular flap interdigitating with
lateral rectangular flaplateral rectangular flap
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L-shaped scar reductionL-shaped scar reduction
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B techniqueB technique
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B techniqueB technique
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Horizontal scar reductionHorizontal scar reduction
Passot – first surgeon to describe Passot – first surgeon to describe horizontal scar reductionhorizontal scar reduction– Inferior wedge resectionInferior wedge resection– Nipple transposition in button hole incision Nipple transposition in button hole incision
higher up on the breast moundhigher up on the breast mound
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Periareolar reductionPeriareolar reduction
Bennelli (1990) round block procedureBennelli (1990) round block procedure– Minimize scarringMinimize scarring– Skin taken up in purse string mannerSkin taken up in purse string manner– Drawback- flattening of breast in Drawback- flattening of breast in
anteroposterior dimension (pancake look)anteroposterior dimension (pancake look)
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Peri-areolar reductionPeri-areolar reduction
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Peri-areolar reductionPeri-areolar reduction
Goes procedure (1996) – double skin Goes procedure (1996) – double skin techniquetechnique– Elevation of fairly thin skin flapsElevation of fairly thin skin flaps– Removal of superior horizontal wedge with Removal of superior horizontal wedge with
vertical upper pole wedgevertical upper pole wedge– Exposed central pedicle supported with Vicryl Exposed central pedicle supported with Vicryl
meshmesh
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Hammond SPAIR techniqueHammond SPAIR technique
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SPAIR – HAMMONDSPAIR – HAMMONDSHORT SCAR PERIAREOLAR INFERIOR PEDICLE REDUCTIONSHORT SCAR PERIAREOLAR INFERIOR PEDICLE REDUCTION
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Sculpted pillar vertical reduction mammaplastySculpted pillar vertical reduction mammaplastyKent K. Higdon and James C. GrottingKent K. Higdon and James C. Grotting
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00
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Special topics in breast Special topics in breast reductionreduction
Secondary breast reductionSecondary breast reduction– Increase in breast volumeIncrease in breast volume– Poor shape or asymmetryPoor shape or asymmetry– Recurrent symptomsRecurrent symptomsAdolescent breast reduction for juvenile Adolescent breast reduction for juvenile hypertrophy – wait until breast growth hypertrophy – wait until breast growth stable for at least 1yrstable for at least 1yrOncoplastic breast reductionOncoplastic breast reduction– Advocated by Adretsch & CloughAdvocated by Adretsch & Clough
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ComplicationsComplicationsHematoma - < 1%Hematoma - < 1%Seroma - 1-5%Seroma - 1-5%Infection - cellulitis or abscessInfection - cellulitis or abscessSkin necrosisSkin necrosisFat necrosisFat necrosisNipple lossNipple lossNipple numbnessNipple numbnessHypertrophic scarsHypertrophic scars
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ComplicationsComplications
AsymmetryAsymmetryInadequate reduction or over reductionInadequate reduction or over reductionBoxy breast deformityBoxy breast deformityRecurrent enlargementRecurrent enlargementInability to breast feedInability to breast feedDog – earsDog – earsInadequate mastopexy resultInadequate mastopexy result
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Thank youThank you
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