Comparative Study between No Vertical Scar Reduction Mammoplasty and Subcutaneous Mastectomy with Free Nipple and Areola Grafting in Management of Post Bariatric Marked breast ptosis | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 17 May 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.201803.1268 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Emad Eldin  1; ahmed Saeed Basuoni2; Mahmoud Fathy Sayed3; Marwa Shehata Abd El Hady4
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| 1Plastic and Reconstructive Surgery Department, Beni Suef University. | ||||
| 2Tanta | ||||
| 3Beni-Suef | ||||
| 4Radiodiagnosis Department, Beni Suef University | ||||
| Abstract | ||||
| Abstract: Objectives: To compare between no vertical scar reduction Mammoplasty and subcutaneous mastectomy with free NAC grafting in management of post bariatric marked breast ptosis cases regarding patient satisfaction, objective esthetic outcome . Background: Marked breast ptosis in males is considered one of the most challenging problems for plastic surgeons and so many techniques have been used in the last few years trying to give the patients the best esthetic outcomes, our research will help us to determine the proper management for such patients. Methods: This is a prospective, comparative, randomized and descriptive study of 30 male patients suffering from post- bariatric marked breast ptosis. The patients were divided into two groups; Group A subjected to no vertical scar reduction mammoplasty technique (15 patients). Group B subjected to subcutaneous mastectomy with free NAC grafting technique (15 patients). Both groups were compared for objective esthetic outcome, patient satisfaction and rate of complications. Results: Both techniques resulted in a good satisfaction rate through getting red from excess skin and breast tissue. Cases that were managed by no vertical scar technique had little NAC complications but were more liable to contour irregularities and asymmetries, on the other hand better esthetic outcomes but more NAC complications occurred with cases managed by subcutaneous mastectomy with free NAC grafting technique. Conclusion: No vertical scar reduction mammoplasty technique has better results regarding preservation of NAC sensation and color, while subcutaneous mastectomy with free NAC grafting technique provides a better breast contour and little irregularities but carries more risk of NAC complications. | ||||
| Keywords | ||||
| ptosis; Reduction; NAC; grafting | ||||
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