4
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Submuscular augmentation mammaplasty using a perinipple incision.

      Read this article at

      ScienceOpenPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The periareolar approach for submuscular augmentation mammaplasty sometimes shows a widened or hypertrophic scar and distorts the shape of the areolar-skin junction. The authors describe submuscular augmentation mammaplasty using a perinipple incision and muscle preservation techniques. The perinipple incision can be extended using a backcut within the areola according to the thickness of the index finger of the operator. The authors could reach the lateral edge of the pectoralis major and lift it while preserving anatomic continuity. The folded, smooth saline implant was introduced with a no-touch or minimal-touch technique. Implant volumes ranged from 175 to 325 mL. Ten to 25-mL volume was overfilled (within the recommended amount), particularly large volume was overfilled in patients who had a thin envelope to reduce the palpation of the edge of the implant. From August 2000 to December 2002, 306 patients underwent subpectoral augmentation mammaplasty via the perinipple approach. Eleven patients complained of rippling or a visible fold. There were 7 patients who required a partial capsulectomy through the perinipple incision again. The scar was well hidden but scar revision was needed in 17 patients as a result of skin slough on the areola flap. Of these cases, some were camouflaged using a medical tattooing procedure as well. Pain was reduced markedly compared with the axillary approach. In conclusion, the perinipple incision has a less visible scar in patients who have an ill-demarcated skin-areolar junction and provides a similar operative field compared with the periareolar incision. In addition, preservation of the normal skin-areola junction is cosmetically successful.

          Related collections

          Author and article information

          Journal
          Ann Plast Surg
          Annals of plastic surgery
          0148-7043
          0148-7043
          Mar 2004
          : 52
          : 3
          Affiliations
          [1 ] Dr. Lee's Esthetic Clinics, Elite Building, 5th Floor, Changchun-dong, Seodaemoon-gu, Seoul 120-180, Korea. pslee@pslee.com
          Article
          15156986
          f05a83f2-0754-452c-9898-b15a5d45de91
          History

          Comments

          Comment on this article