Improving the aesthetic outcome of the superomedial pedicle in wise-pattern breast reduction using a suspension "Hammock" flap technique | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 18 September 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.233461.1293 | ||
| Authors | ||
| Ahmad Elhussein Mohamed* 1; Sherif Mohsen Abdelmeged2; Omar Salah Eldeen Ali2 | ||
| 1surgery departement, faculty of medicine, suez canal university | ||
| 2surgery department, faculty of medicine, Suez canal university | ||
| Abstract | ||
| Background Superomedial pedicle reduction mammoplasty provides satisfactory and symmetrical projection of the lower pole. Its satisfactory outcome cannot be preserved consistently for quite some time. This study describes the combination of superomedial pedicle breast reduction with the "Hammock" flap suspension sling to obtain a satisfactory long-term outcome through pedicle support enhancement and preventing pseudoptosis. Methods Fifteen patients with breast hypertrophy eligible for breast reduction were operated on using a combined superomedial pedicle reduction mammoplasty with a perforator-based inferior advancement "Hammock" flap. The "Hammock flap" fixed to the fascia of pectoralis major muscle and the superomedial pedicle as a hammock. Breast measurements were recorded preoperatively and postoperatively (1, 6, and 12 months). Patients reported their own satisfaction with breast volume, contour, position of the nipple-areola complex (NAC), and projection of the lower pole at the end of the follow-up period through the BREAST-Q Version 2.0 "Reduction/Mastopexy Module Pre- and Postoperative Scales questionnaire". Results Aesthetic outcomes at one-year post-operative were satisfactory in almost all patients, as indicated by BREAST-Q scores, with a low incidence of complication rates. Furthermore, the postoperative breast measurements were nearly constant during the follow-up period. Conclusion Hammock flap sling technique, which is performed through an inferior dermo glandular flap, is an approach that is effective and safe approach that can improve pedicle fixation and positioning. Furthermore, it results in a favorable long-term aesthetic outcome for patients undergoing superomedial pedicle reduction mammoplasty. | ||
| Keywords | ||
| Breast; Reduction; Superomedial; Hammock; Flap | ||
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