Macromastia surgical therapy

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Published: May 1, 2011
Keywords:
Breast ptosis, Dermal flap, Macromastia, Reduction mammaplasty

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Mauro Tarallo
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery (Director: Prof. N. Scudieri), University of Rome “Sapienza”, Policlinico Umberto I, Rome, Italy
Emanuele Cigna
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery (Director: Prof. N. Scudieri), University of Rome “Sapienza”, Policlinico Umberto I, Rome, Italy
Pasquale Fino
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery (Director: Prof. N. Scudieri), University of Rome “Sapienza”, Policlinico Umberto I, Rome, Italy
Federico Lo Torto
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery (Director: Prof. N. Scudieri), University of Rome “Sapienza”, Policlinico Umberto I, Rome, Italy
Nicolò Scuderi
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery (Director: Prof. N. Scudieri), University of Rome “Sapienza”, Policlinico Umberto I, Rome, Italy

Abstract

AIM: Macromastia is a social health problem that causes high discomfort in the patients. Goals of reduction mammaplasty are to alleviate physical, emotional and psychosocial problems and to restore a conical shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with superior pedicle.


MATERIALS OF STUDY: Our method combines advantages of round block with vertical scar, using a dermal flap that is fixed to the new mammary crease. We analyzed skin and glandular resection customizing the mammaplasty.


RESULTS: The dermal flap works against the weight of residual tissue, maintaining the crease at the desired position with natural result. Benefits are an excellent projection, short scar, suitable reshaping and patient satisfaction.


DISCUSSION AND CONCLUSIONS: This technique can be used for mild to severe hypertrophy with various degrees of ptosis. It results in a successful aesthetic outcome with minimal scarring suitable breast remodelling and natural long-lasting projection.

Article Details

How to Cite
Tarallo, Mauro, et al. “Macromastia Surgical Therapy”. Annali Italiani Di Chirurgia, vol. 82, no. 3, May 2011, pp. 191-6, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1311.
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Vol. 82 No. 3 (2011)
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Article