Long-Term Changes in Nipple-Areolar Complex Position and Inferior Pole Length in Superomedial Pedicle Inverted 'T' Scar Reduction Mammaplasty

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dc.contributor.authorAltuntas, Zeynep Karacor
dc.contributor.authorKamburoglu, Haldun Onuralp
dc.contributor.authorYavuz, Nurten
dc.contributor.authorDadaci, Mehmet
dc.contributor.authorInce, Bilsev
dc.date.accessioned2024-02-23T13:43:36Z
dc.date.available2024-02-23T13:43:36Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractProper nipple-areolar complex position in reduction mammoplasty patients is a challenging problem regardless of the preferred technique. Postoperatively, the nipple-areolar complex is often not located at the most projected area of the breast. This retrospective observational study aimed to find the long-term measurements of the nipple-areolar complex position and inferior pole length after inverted T scar-superomedial pedicle reduction mammoplasty. Forty-eight female patients (96 breasts) were included in this study. The inclusion criteria were that no previous operation should have been done on any of the breasts and both NAC complexes should be at least 30 cm from the midclavicular point. Preoperatively, the distance from the midclavicular point to the new nipple was recorded. All patients were operated on with the inverted T pattern and superomedial pedicle technique. The resection weights, the distance from the midclavicular point to the nipple distance, and the distance from the NAC lower border to the inframammary fold were evaluated postoperatively with an average of 15-month follow-up. The mean preoperative distance from the midclavicular point to the nipple was 34.21 cm for the right breast and 34.26 cm for the left breast. The mean resection weight per breast was 1035 g for the right breast and 1081 g for the left breast. The descent of the NAC was 1.61 cm for the right breast and 1.79 cm for left breast (mean: 1.7 cm) at the end of the follow-up. Additionally, the inframammary length increased 3.31 cm for the right breast and 3.59 cm for the left breast (mean: 3.45 cm). In this study, we found that the new nipple-areolar complex does not go upward but goes downward. However, it was not located at the most projected area of the breast as it was set intra-operatively. This was because the lower pole of the breast sagged more than the nipple: clinically, we observed a nipple superior displacement of 1.75 cm (3.45 - 1.7 = 1.75). According to this calculation, we believe that the new nipple position should be marked at 1.5-1.75 cm below the most projected area of the breast after final shaping so that in the long term, the nipple-areolar complex would be at the proper position. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.en_US
dc.identifier.doi10.1007/s00266-015-0470-3
dc.identifier.endpage330en_US
dc.identifier.issn0364-216X
dc.identifier.issn1432-5241
dc.identifier.issue3en_US
dc.identifier.pmid25784103en_US
dc.identifier.scopus2-s2.0-84939980242en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage325en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-015-0470-3
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10867
dc.identifier.volume39en_US
dc.identifier.wosWOS:000354616600007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofAesthetic Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectReduction Mammaplastyen_US
dc.subjectSuperomedial Pedicleen_US
dc.subjectNacen_US
dc.subjectNipple-Areolar Complexen_US
dc.subjectNac Positionen_US
dc.subjectNipple-Areolar Complex Positionen_US
dc.titleLong-Term Changes in Nipple-Areolar Complex Position and Inferior Pole Length in Superomedial Pedicle Inverted 'T' Scar Reduction Mammaplastyen_US
dc.typeArticleen_US

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