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Abstract

Breast reduction can be performed for either cosmetic or functional reasons. Macromastia may cause significant emotional and physical distress for those women affected and is associated with a constellation of symptoms including neck pain, back pain, shoulder pain, breast pain, headaches, shoulder grooving and intertrigo. Reduction mammaplasty is associated with significant improvement in patient quality of life and patient satisfaction. According to the American Society for Aesthetic Plastic Surgery, more than 103,077 women in the USA underwent breast reduction in 2015. This chapter will provide guidance on assessment and mark up for a patient due to undertake breast reduction surgery.

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References

  1. Cohen WA, Homel P, Patel NP. Does time affect patient satisfaction and health-related quality of life after reduction mammoplasty? Eplasty. 2016;16:e7.

    PubMed  PubMed Central  Google Scholar 

  2. Cogliandro A, Barone M, Persichetti P. Prospective analysis of satisfaction by means of BREASTQ in 156 patients who underwent breast reduction. Plast Reconstr Surg. 2017;140(5):752e–3e.

    Article  CAS  PubMed  Google Scholar 

  3. Blomqvist L, Eriksson A, Brandberg Y. Reduction mammaplasty provides long-term improvement in health status and quality of life. Plast Reconstr Surg. 2000;106(5):991–7.

    Article  CAS  PubMed  Google Scholar 

  4. Menderes A, Mola F, Vayvada H, Barutcu A. Evaluation of results from reduction mammaplasty: relief of symptoms and patient satisfaction. Aesthet Plast Surg. 2005;29(2):83–7.

    Article  Google Scholar 

  5. Woodman R, Radzyminski S. Women’s perception of life following breast reduction: a phenomenological study. Plast Surg Nurs. 2007;27(2):85–92.

    Article  PubMed  Google Scholar 

  6. Faria FS, Guthrie E, Bradbury E, Brain AN. Psychosocial outcome and patient satisfaction following breast reduction surgery. Br J Plast Surg. 1999;52(6):448–52.

    Article  CAS  PubMed  Google Scholar 

  7. (ASAPS) TASFAPS. https://www.smartbeautyguide.com/procedures/breast/breast-reduction/. Accessed 30 May 2018.

  8. Kerrigan CL, Slezak SS. Evidence-based medicine: reduction mammaplasty. Plast Reconstr Surg. 2013;132(6):1670–83.

    Article  CAS  PubMed  Google Scholar 

  9. Shah A, Sun A, Sumpio B, et al. Oncologic imaging in patients undergoing breast reduction. Plast Reconstr Surg Glob Open. 2016;4(6):e756.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Harris L, Morris SF, Freiberg A. Is breast feeding possible after reduction mammaplasty? Plast Reconstr Surg. 1992;89(5):836–9.

    Article  CAS  PubMed  Google Scholar 

  11. Souto GC, Giugliani ER, Giugliani C, Schneider MA. The impact of breast reduction surgery on breastfeeding performance. J Hum Lact. 2003;19(1):43–9. quiz 66–9, 120

    Article  PubMed  Google Scholar 

  12. Bartsch RH, Weiss G, Kastenbauer T, et al. Crucial aspects of smoking in wound healing after breast reduction surgery. J Plast Reconstr Aesthet Surg. 2007;60(9):1045–9.

    Article  PubMed  Google Scholar 

  13. Regnault P. Breast ptosis. Definition and treatment. Clin Plast Surg. 1976;3(2):193–203.

    Article  CAS  PubMed  Google Scholar 

  14. Rohrich RJ, Gosman AA, Brown SA, Tonadapu P, Foster B. Current preferences for breast reduction techniques: a survey of board-certified plastic surgeons 2002. Plast Reconstr Surg. 2004;114(7):1724–33; discussion 34–6.

    Article  PubMed  Google Scholar 

  15. Davison SP, Mesbahi AN, Ducic I, Sarcia M, Dayan J, Spear SL. The versatility of the superomedial pedicle with various skin reduction patterns. Plast Reconstr Surg. 2007;120(6):1466–76.

    Article  CAS  PubMed  Google Scholar 

  16. Wise RJ. A preliminary report on a method of planning the mammaplasty. Plast Reconstr Surg (1946). 1956;17(5):367–75.

    Article  CAS  Google Scholar 

  17. Hidalgo DA. Improving safety and aesthetic results in inverted T scar breast reduction. Plast Reconstr Surg. 1999;103(3):874–86; discussion 87–9.

    Article  CAS  PubMed  Google Scholar 

  18. Lassus C. A technique for breast reduction. Int Surg. 1970;53(1):69–72.

    CAS  PubMed  Google Scholar 

  19. Lejour M. Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg. 1994;94(1):100–14.

    Article  CAS  PubMed  Google Scholar 

  20. Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg. 1999;104(3):748–59; discussion 60–3.

    Article  CAS  PubMed  Google Scholar 

  21. Berthe JV, Massaut J, Greuse M, Coessens B, De Mey A. The vertical mammaplasty: a reappraisal of the technique and its complications. Plast Reconstr Surg. 2003;111(7):2192–9; discussion 200–2.

    Article  PubMed  Google Scholar 

  22. Hall-Findlay EJ. Vertical breast reduction. Semin Plast Surg. 2004;18(3):211–24.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Hall-Findlay EJ. Pedicles in vertical breast reduction and mastopexy. Clin Plast Surg. 2002;29(3):379–91.

    Article  PubMed  Google Scholar 

  24. Azzam C, De Mey A. Vertical scar mammaplasty in gigantomastia: retrospective study of 115 patients treated using the modified lejour technique. Aesthet Plast Surg. 2007;31(3):294–8.

    Article  Google Scholar 

  25. Gruber RP, Jones HW Jr. The “donut” mastopexy: indications and complications. Plast Reconstr Surg. 1980;65(1):34–8.

    Article  CAS  PubMed  Google Scholar 

  26. Bartels RJ, Strickland DM, Douglas WM. A new mastopexy operation for mild or moderate breast ptosis. Plast Reconstr Surg. 1976;57(6):687–91.

    Article  CAS  PubMed  Google Scholar 

  27. Benelli L. A new periareolar mammaplasty: the “round block” technique. Aesthet Plast Surg. 1990;14(2):93–100.

    Article  CAS  Google Scholar 

  28. Goes JC. Periareolar mastopexy: double skin technique with mesh support. Aesthet Surg J. 2003;23(2):129–35.

    Article  PubMed  Google Scholar 

  29. Spear SL, Kassan M, Little JW. Guidelines in concentric mastopexy. Plast Reconstr Surg. 1990;85(6):961–6.

    Article  CAS  PubMed  Google Scholar 

  30. Spear SL, Giese SY, Ducic I. Concentric mastopexy revisited. Plast Reconstr Surg. 2001;107(5):1294–9; discussion 300.

    Article  CAS  PubMed  Google Scholar 

  31. Regnault P. Breast reduction: B technique. Plast Reconstr Surg. 1980;65(6):840–5.

    Article  CAS  PubMed  Google Scholar 

  32. Regnault P. Breast reduction and mastopexy, an old love story: B technique update. Aesthet Plast Surg. 1990;14(2):101–6.

    Article  CAS  Google Scholar 

  33. Parenteau JM, Regnault P. The Regnault “B” technique in mastopexy and breast reduction: a 12-year review. Aesthet Plast Surg. 1989;13(2):75–9.

    Article  CAS  PubMed  Google Scholar 

  34. Chiari A Jr. The L short-scar mammaplasty. Clin Plast Surg. 2002;29(3):401–9. vi

    Article  PubMed  Google Scholar 

  35. Hammond DC. The short scar periareolar inferior pedicle reduction (SPAIR) mammaplasty. Semin Plast Surg. 2004;18(3):231–43.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Hammond DC. Short scar periareolar inferior pedicle reduction (SPAIR) mammaplasty. Plast Reconstr Surg. 1999;103(3):890–901; discussion 2.

    Article  CAS  PubMed  Google Scholar 

  37. Kavka S. A simple device for marking the areola in vertical mammaplasty. Plast Reconstr Surg. 1999;103(7):2087.

    Article  CAS  PubMed  Google Scholar 

  38. Mendez-Fernandez MA. An easy-to-make, easy-to-use device for preoperative marking for reduction mammoplasty and mastopexy. Ann Plast Surg. 1991;26(6):602–3.

    Article  CAS  PubMed  Google Scholar 

  39. Paloma V, Samper A, Sanz J. A simple device for marking the areola in Lejour’s mammaplasty. Plast Reconstr Surg. 1998;102(6):2134–5; discussion 6–8.

    Article  CAS  PubMed  Google Scholar 

  40. Penn J. Breast reduction. Br J Plast Surg. 1955;7(4):357–71.

    CAS  PubMed  Google Scholar 

  41. Lewin R, Widmark-Jensen E, Plate N, Hansson E. Objective evaluation of nipple position after 336 breast reductions. J Plast Surg Hand Surg. 2018;52(4):198–203.

    Article  PubMed  Google Scholar 

  42. Altuntas ZK, Kamburoglu HO, Yavuz N, Dadaci M, Ince B. Long-term changes in nipple-areolar complex position and inferior pole length in superomedial pedicle inverted 't' scar reduction mammaplasty. Aesthet Plast Surg. 2015;39(3):325–30.

    Article  Google Scholar 

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Correspondence to Paul Thiruchelvam .

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Thiruchelvam, P., Ghali, S. (2020). Reduction Mammoplasty Marking. In: Klimberg, V., Kovacs, T., Rubio, I. (eds) Oncoplastic Breast Surgery Techniques for the General Surgeon. Springer, Cham. https://doi.org/10.1007/978-3-030-40196-2_11

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  • DOI: https://doi.org/10.1007/978-3-030-40196-2_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-40195-5

  • Online ISBN: 978-3-030-40196-2

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