A Novel Technique for Correction of Bottoming Out Following Inferior Pedicle Breast Reduction | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 13, Volume 43, Issue 1, January 2019, Page 73-78 PDF (15.71 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2019.65159 | ||||
View on SCiNiTO | ||||
Authors | ||||
Mohamed Farag* ; Eman Y Sadek; Ahmed Ali | ||||
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University | ||||
Abstract | ||||
Introduction: Bottoming out is a frequent pitfall of breast reduction following inferior pedicle technique. This is attributed to the lack of deep tissue suspension and skin envelope relaxation. The condition is associated with lack of medial fullness and poor projection. The authors present a new technique that depends on redistribution and auto-augmentation rather than resection of tissues. Patients and Methods: The technique was performed in 25 patients who had bottoming out following inferior pedicle breast reduction. The time elapsed from the primary surgery to the corrective surgery ranged from 2 to 4.5 years with a mean of 2.5 years. The used technique consists of deepithelialization and complete division of the lower segment at the infra-mammary fold. The divided lower dermoglandular segment is rolled in a retromammary pocket underneath the pedicle and fixed to the pectoral fascia. The idea is to use this lower segment of the inferior pedicle as an auto-prosthesis. Follow-up period is 12 months. Results: All patients achieved good breast shape with good projection. There were no serious complications. Only two patients developed partial wound disruption. Conclusion: A novel technique for correction of bottoming out following inferior pedicle breast reduction was used with good surgical outcome | ||||
Keywords | ||||
Bottoming out; Breast reduction | ||||
References | ||||
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