3-D analysis of breast morphology changes after inverted T-scar and vertical-scar reduction mammaplasty over 12 months.

Eder, Maximilian; Klöppel, Markus; Müller, Daniel; Papadopulos, Nikolaos A; Machens, Hans-Günther; Kovács, László

doi:10.1016/j.bjps.2013.02.008

2013

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Titel:: 3-D analysis of breast morphology changes after inverted T-scar and vertical-scar reduction mammaplasty over 12 months.
Dokumenttyp:: Journal Article; Research Support, Non-U.S. Gov't
Autor(en):: Eder, Maximilian; Klöppel, Markus; Müller, Daniel; Papadopulos, Nikolaos A; Machens, Hans-Günther; Kovács, László
Abstract:: One major objective of all types of breast reduction procedures is to achieve a long-lasting, stable and aesthetically pleasing three-dimensional (3-D) breast shape, but current surgical outcome evaluation is limited. This study compares the extent of soft-tissue oedema and breast tissue migration related to 3-D breast morphology changes after inverted T-scar and vertical-scar breast reduction over 12 months. 3-D breast surface scans of patients undergoing inverted T-scar (n=52 breasts) and vertical-scar (n=44 breasts) reduction mammaplasty were obtained preoperatively and 2-3 days, 1 week, 1 month, 3 months, 6 months, 9 months and 12 months postoperatively. 3-D images were analysed at each time point comparing distances, 3-D breast contour deviations (%), breast surface (cm2) and volume (cc) measurements including volumetric distribution between the upper portion (UP) and the lower portion (LP) of the breast (%). Total postoperative breast volume decreased by 11.7% (T-scar) and by 7.8% (vertical-scar) during the first 3 months (both p<0.001) without relevant changes in the following months, indicating that soft-tissue oedema is resolved after 3 months. The T-scar (vertical-scar) group showed a preoperative UP to LP volumetric distribution of 43:57% (45:55%) versus 86:14% (91:9%) immediately after surgery. Breast tissue significantly redistributes (both p=0.001) from the UP to the LP during the first postoperative year by 16.5% (T-scar) and 21% (vertical-scar), resulting in a final UP to LP ratio of 70:30% for both techniques, without further breast contour deviations (both p>0.05) after 6 months (T-scar) and 9 months (vertical-scar). Breast morphological changes after reduction mammaplasty are completed after a period of 3-6 months in the T-scar group and 6-9 months in the vertical-scar group.
Zeitschriftentitel:: J Plast Reconstr Aesthet Surg
Jahr:: 2013
Band / Volume:: 66
Heft / Issue:: 6
Seitenangaben Beitrag:: 776-86
Sprache:: eng
Volltext / DOI:: doi:10.1016/j.bjps.2013.02.008
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/23478011
Print-ISSN:: 1748-6815
TUM Einrichtung:: Lehrstuhl für Plastische Chirurgie und Handchirurgie (Prof. Machens)
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie (Prof. Machens)Lehrstuhl für Plastische Chirurgie und Handchirurgie (Prof. Machens)2013