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The Effect of Dermal Suspension on Early Complications After Vertical Reduction Mammoplasty

  • Original Article
  • Breast Surgery
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Abstract

Background

Reduction mammoplasty is frequently performed in plastic surgery clinics. The vertical technique can be performed using several different pedicles, including superior, superomedial, medial, and lateral. For patients with large breasts, using a medial pedicle is recommended as a safer approach. Superficial wound dehiscence is common with all breast reduction techniques.

Methods

The present study compared early complications in patients who underwent reduction mammoplasty with superior pedicle, medial pedicle, or medial pedicle with dermal suspension performed by the same surgeon. The patients were evaluated in terms of age, weight, height, pedicle type and technique used for vertical reduction mammoplasty, resected tissue mass, suprasternal notch (SSN) to nipple–areola complex (NAC) distance, NAC transposition distance, and drain duration.

Results

Pairwise comparisons revealed that wound dehiscence along the inframammary fold (IMF) was significantly less frequent in the superior pedicle group than the medial pedicle without suspension group (p = 0.018). Although not statistically significant, using the suspension method in medial pedicle procedures reduced the rate of IMF wound dehiscence from 32.4 to 25%. Delayed IMF wound healing was associated with the amount of resected tissue (p = 0.004) but not with age, BMI, SSN-to-NAC distance, NAC transposition distance, or drain duration.

Conclusion

Suspending the medial pedicle from the chest wall reduced the rate of IMF wound dehiscence.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Funding

No financial assistancent were received.

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Authors and Affiliations

  1. Plastic Reconstructive and Aesthetic Surgery Department, Sivas Cumhuriyet University Medical Faculty, 58140, Sivas, Turkey

    Handan Derebaşınlıoğlu & Onur Aksoy

  2. Family Medicine Department, Sivas Cumhuriyet University Medical Faculty, 58140, Sivas, Turkey

    Sanem Nemmezi Karaca

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  1. Handan Derebaşınlıoğlu
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  2. Sanem Nemmezi Karaca
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  3. Onur Aksoy
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Correspondence to Handan Derebaşınlıoğlu.

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Ethics committee approval for the study was obtained from the local ethics committee of Sivas Cumhuriyet University. (No: 2021-05/09)

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Derebaşınlıoğlu, H., Nemmezi Karaca, S. & Aksoy, O. The Effect of Dermal Suspension on Early Complications After Vertical Reduction Mammoplasty. Aesth Plast Surg 46, 1624–1638 (2022). https://doi.org/10.1007/s00266-022-02893-9

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