Recently the methods of breast reduction were developed variably and rapidly, and the needs of reduction mammoplasty are increasing now. The goal of reduction mammoplasty is a well formed breast with natural contour and volume. And minimal scar
with
hidden area is important due to very conspicous scar. In addition, the sensation of nipple-areola complex and breast feeding are considerable aspect in breast reduction. The conventional technique of reduction mammoplasty revealed many problems
such as
large inverted T-shaped scar, loss of sensation in nipple-areola complex, absence of lactation function and retraction of nipple-areoal complex with upward displacement. Recent anatomical study about the sensation and blood perfusion to breast
let
us
can be enable to do a new procedure named by central pedicled flap in performing reduction mammoplasty. The study revealed many knowledges that perforating vascular branches from the pectoralis major muscle and its fascia instead of the subdermal
plexus
supplies the nipple-areola complex mainly and the distribution of sensory nerve is similar with the vasculature. So we have applied the central pedicled flap method in reduction mammoplasty as a safe method in 7 patients of recent years. And we
have had
the excellent results such as adequate vasculature of the flap, preservation of sensation, no displacement and adequate natural breast. And we have used the short submammary scar technique to reduce the transverse scar of inverted T-shaed scar,
so
we
have had the minimal postoperative scar. And our follow-up study revealed no retraction of nipple-areola complex and no displacement. So we concluded that the reduction mammoplasty using the central pedicled flap technique would be an excellent
procedure minimizing the problems of conventional techniques.
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