The Effect of Dermal Suspension on Early Complications After Vertical Reduction Mammoplasty

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dc.authoridNEMMEZI KARACA, SANEM/0000-0002-4853-8366
dc.authoridDEREBASINLIOGLU, HANDAN/0000-0003-1412-4672
dc.contributor.authorDerebasinlioglu, Handan
dc.contributor.authorNemmezi Karaca, Sanem
dc.contributor.authorAksoy, Onur
dc.date.accessioned2024-10-26T18:03:31Z
dc.date.available2024-10-26T18:03:31Z
dc.date.issued2022
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractBackground Reduction mammoplasty is frequently performed in plastic surgery clinics. The vertical technique can be performed using several different pedicles, including superior, superomedial, medial, and lateral. For patients with large breasts, using a medial pedicle is recommended as a safer approach. Superficial wound dehiscence is common with all breast reduction techniques. Methods The present study compared early complications in patients who underwent reduction mammoplasty with superior pedicle, medial pedicle, or medial pedicle with dermal suspension performed by the same surgeon. The patients were evaluated in terms of age, weight, height, pedicle type and technique used for vertical reduction mammoplasty, resected tissue mass, suprasternal notch (SSN) to nipple-areola complex (NAC) distance, NAC transposition distance, and drain duration. Results Pairwise comparisons revealed that wound dehiscence along the inframammary fold (IMF) was significantly less frequent in the superior pedicle group than the medial pedicle without suspension group (p = 0.018). Although not statistically significant, using the suspension method in medial pedicle procedures reduced the rate of IMF wound dehiscence from 32.4 to 25%. Delayed IMF wound healing was associated with the amount of resected tissue (p = 0.004) but not with age, BMI, SSN-to-NAC distance, NAC transposition distance, or drain duration. Conclusion Suspending the medial pedicle from the chest wall reduced the rate of IMF wound dehiscence.
dc.identifier.doi10.1007/s00266-022-02893-9
dc.identifier.endpage1638
dc.identifier.issn0364-216X
dc.identifier.issn1432-5241
dc.identifier.issue4
dc.identifier.pmid35505196
dc.identifier.scopus2-s2.0-85129278079
dc.identifier.scopusqualityQ1
dc.identifier.startpage1624
dc.identifier.urihttps://doi.org/10.1007/s00266-022-02893-9
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28392
dc.identifier.volume46
dc.identifier.wosWOS:000790150600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofAesthetic Plastic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectVertical reduction mammoplasty
dc.subjectEarly complications superior pedicle
dc.subjectMedial pedicle
dc.subjectWound dehiscence
dc.titleThe Effect of Dermal Suspension on Early Complications After Vertical Reduction Mammoplasty
dc.typeArticle

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