Vertical scar versus the inverted-T scar reduction mammaplasty: A 10-year follow-up

A retrospective study was undertaken to evaluate whether the initial outcome of two types of reduction mammaplasty techniques (vertical scar reduction mammaplasty vs. the inverted-T scar reduction mammaplasty) remains stable in the long term: Sixty-nine patients who had undergone breast reduction su...

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Vydáno v:	Journal of plastic, reconstructive & aesthetic surgery Ročník 65; číslo 10; s. 1298 - 1304
Hlavní autoři:	Bouwer, Lesley R., van der Biezen, Jan Jaap, Spronk, Cees A., van der Lei, Berend
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Kidlington Elsevier Ltd 01.10.2012 Elsevier
Témata:	Adolescent Adult Aesthetic Biological and medical sciences Bottoming out Breast - pathology Breast - surgery Cicatrix - etiology Cicatrix - prevention & control Cohort Studies Esthetics Female Follow-Up Studies Humans Hypertrophy - surgery Long term Macromastia Mammaplasty Mammaplasty - adverse effects Mammaplasty - methods Medical sciences Middle Aged Netherlands Patient Satisfaction - statistics & numerical data Plastic Surgery Result Retrospective Studies Risk Assessment Statistics, Nonparametric Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surveys and Questionnaires Suture Techniques Treatment Outcome Young Adult Netherlands Macromastia Aesthetic Mammaplasty Bottoming out Long term Result Scar Plasty Reduction Treatment Follow up study Surgery Aesthetics Comparative study
ISSN:	1748-6815, 1878-0539, 1878-0539
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Popis
Shrnutí:	A retrospective study was undertaken to evaluate whether the initial outcome of two types of reduction mammaplasty techniques (vertical scar reduction mammaplasty vs. the inverted-T scar reduction mammaplasty) remains stable in the long term: Sixty-nine patients who had undergone breast reduction surgery in the period 1997–2000 at the Department of Reconstructive Plastic Surgery at the Medical Center of Leeuwarden were willing and able to participate in this study. A structured questionnaire was used to assess the degree of patient satisfaction. For subjective evaluation, the Strasser Grading System on photographs at the 3 months after surgery and after long-term follow-up (10 years) was used. The median general appreciation mark for the entire surgical procedure given by patients was 8 (1–10) on a scale from 1 to 10. Forty-six of the 69 patients could be scored according to Strasser: at 3 months in 17 patients (37%) the result was ‘good’, in 21 patients (46%) ‘mediocre’ and in eight patients (17%) ‘poor’. After 10 years, in 37 of the patients (80%) the result was ‘good’, in six patients (13%) ‘mediocre’ and in three patients (7%) ‘poor’. At 3 months, there was a higher incidence of bottoming out in the vertical scar group (one on two patients) as compared to the inverted-T scar group (one on 10 patients); however, at the 10-years follow-up bottoming out was 50% in the inverted-T scar group and 20% in the vertical scar group. Despite bottoming out, in both the vertical scar reduction mammaplasty technique and the inverted-T scar reduction mammaplasty technique, high patient satisfaction rates are achieved that remains for years.
Bibliografie:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	1748-6815 1878-0539 1878-0539
DOI:	10.1016/j.bjps.2012.04.033