중심 피판경을 이용한 유륜둘레 절개식 유방축소술의 임상적 경험 = CLINICAL EXPERIENCES WITH PERIAREOLAR REDUCTION MAMMAPLASTY USING CENTRAL PARENCHYMAL PEDICLE

다국어 초록 (Multilingual Abstract)

The objectives of reduction mammaplasty are (1) to relieve symptoms caused by heavy breasts, (2) to improve the aesthetic conical shape of the breast, (3) to minimize the scars, and (4) to maintain the breast physiology without complications. The main components of this surgery are to move the nipple and areola to a new position, in addition to the reduction or reshaping of the breast. Therefore, surgeon must take account that the ease of predicting the eventual size of the breast mound and the final location of the nipple areola complex when selecting the type of breast reduction surgery. After the introduction of, central parenchymal pedicle by Hester(1985) and round block technique by Benelli(1988), several variations of periareolar reduction mammaplasty were used by many authors. We modified these techniques to minimized the scars with strong purse-string suture, to resect enough amount of redundant breast tissues with the survival of nipple-areola complex, to preserve projection with wide undermining of skin flap, and to reduce intra and postoperative bleeding using tumescent solution. We reviewed 43 cases(86 breasts) of reduction marnrnaplasty with this technique from 1994 through 1996. The resection volume of boreas tissues ranged from 70 g to 1150 g per breast. The mean values were 408 g(right) and 404 g(left), respectively.
The mean elevation of nipple-areola complex was 6.5 cm. The most of patients were quitely satisfied with their breast size, shape and especially scars. We believe that this type of reduction mammaplasty is safe and versatile method to resect the significant volume of breast hypertrophy with minimal scar, and to obtain a natural cone shape of the breast, preserving breast function.