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Subject Area

Internal Medicine

Article Type

Original Study

Abstract

Objectives The aim of this study was to evaluate the technique of septum-based reduction mammaplasty regarding safety, esthetic results, and patient satisfaction. Background Improved understanding of anatomy and continuous evolution in surgical techniques helped to shift the focus from simple reduction surgery to keeping long-lasting esthetic results. The present study evaluated the reduction mammaplasty based on the fixed anatomical structure called Würinger's septum which carries the main nerve and blood supply to the nipple. Patients and methods This study included 30 patients experiencing macromastia who visited the outpatient clinic of Department of Plastic Surgery, Menoufia University Hospital, from April 2015 to December 2016, and they underwent septum-based reduction mammaplasty based on Würinger's septum. Overall, 16 medial and 14 lateral septum-based pedicles were designed according to each patient characteristics. The patient characteristics, operative data, and results of the work were recorded. Results Septum-based reduction mammaplasty was done for 30 patients, with an age range of 29–56 years. The mean nipple to sternal notch distance (suprasternal notch to nipple) was 31 cm, with range of 27–40 cm. The mean distance of nipple–areola complex elevation was 12 ± 2 cm, with range of 6–18 cm. The mean weight of tissue resection was 638 ± 22 g. The mean operative time was 101 min (range: 85–119 min) in reduction-only procedures and 146 min (range: 125–185 min) with those requiring additional procedures. No major complications were recorded. Conclusion Septum-based mammaplasty is a safe and reliable breast reduction technique. It preserves the nipple sensation more than other mammaplasty techniques, and also major complications can be avoided.

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