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: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Kidlington
Elsevier Ltd
01.10.2012
Elsevier |
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| ISSN: | 1748-6815, 1878-0539, 1878-0539 |
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| Abstract | 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. |
|---|---|
| AbstractList | 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. 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.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. Summary 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. 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. |
| Author | van der Biezen, Jan Jaap Spronk, Cees A. van der Lei, Berend Bouwer, Lesley R. |
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| Cites_doi | 10.1007/s00266-006-0188-3 10.1097/00000637-200045060-00001 10.1097/01.prs.0000201493.76256.65 10.1097/00006534-198810000-00014 10.1097/00006534-199912000-00058 10.1097/00006534-200207000-00013 10.1016/S0094-1298(20)30220-0 10.1007/s00266-005-1054-4 10.1007/s00266-009-9409-x 10.1054/bjps.1997.0081 10.1080/02844310802594068 |
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| References | Mello, Domingos, Miyazaki (bib1) 2010; 34 O'Blenes, Delbridge, Miller, Pantelis, Morris (bib3) 2006; 117 Godwin, Wood, O'Neill (bib5) 1998; 51 Chalekson, Neumeister, Zook, Russell (bib6) 2002; 110 Prez-Macas (bib10) 2007; 31 Behmand, Tang, Smith (bib2) 2000; 45 Strasser (bib4) 1999; 104 Hosnuter, Tosun, Kargi, Babuccu, Savaci (bib7) 2005; 29 Reus, Mathes (bib12) 1988; 82 Meshulam-Derazon, Barnea, Zaretski (bib8) 2009; 43 Quan, Fadl, Small (bib11) 2010 Regnault (bib9) 1976; 3 Chalekson (10.1016/j.bjps.2012.04.033_bib6) 2002; 110 Meshulam-Derazon (10.1016/j.bjps.2012.04.033_bib8) 2009; 43 Regnault (10.1016/j.bjps.2012.04.033_bib9) 1976; 3 Prez-Macas (10.1016/j.bjps.2012.04.033_bib10) 2007; 31 Godwin (10.1016/j.bjps.2012.04.033_bib5) 1998; 51 Mello (10.1016/j.bjps.2012.04.033_bib1) 2010; 34 O'Blenes (10.1016/j.bjps.2012.04.033_bib3) 2006; 117 Reus (10.1016/j.bjps.2012.04.033_bib12) 1988; 82 Quan (10.1016/j.bjps.2012.04.033_bib11) 2010 Hosnuter (10.1016/j.bjps.2012.04.033_bib7) 2005; 29 Behmand (10.1016/j.bjps.2012.04.033_bib2) 2000; 45 Strasser (10.1016/j.bjps.2012.04.033_bib4) 1999; 104 |
| References_xml | – volume: 104 start-page: 2282 year: 1999 end-page: 2285 ident: bib4 article-title: An objective grading system for the evaluation of cosmetic surgical results publication-title: Plast Reconstr Surg – volume: 82 start-page: 644 year: 1988 end-page: 652 ident: bib12 article-title: Preservation of projection after reduction mammaplasty: long-term follow-up of the inferior pedicle technique publication-title: Plast Reconstr Surg – volume: 110 start-page: 71 year: 2002 end-page: 79 ident: bib6 article-title: Outcome analysis of reduction mammaplasty using the modified Robertson technique publication-title: Plast Reconstr Surg – volume: 3 start-page: 193 year: 1976 end-page: 203 ident: bib9 article-title: Breast ptosis. Definition and treatment publication-title: Clin Plast Surg – year: 2010 ident: bib11 article-title: Defining pseudoptosis (bottoming out) 3 years after short-scar medial pedicle breast reduction publication-title: Aesthetic Plast Surg – volume: 45 start-page: 575 year: 2000 end-page: 580 ident: bib2 article-title: Outcomes in breast reduction surgery publication-title: Ann Plast Surg – volume: 51 start-page: 444 year: 1998 end-page: 449 ident: bib5 article-title: A comparison of the patient and surgeon opinion on the long-term aesthetic outcome of reduction mammaplasty publication-title: Br J Plast Surg – volume: 29 start-page: 496 year: 2005 end-page: 502 ident: bib7 article-title: No-vertical-scar technique versus inverted T-scar technique in reduction mammoplasty: a two-center comparative study publication-title: Aesthetic Plast Surg – volume: 43 start-page: 65 year: 2009 end-page: 70 ident: bib8 article-title: Large-volume breast reduction: long-term results publication-title: Scand J Plast Reconstr Surg Hand Surg – volume: 31 start-page: 266 year: 2007 end-page: 274 ident: bib10 article-title: Long-lasting evolution of ptosis control after reduction mammaplasty using the hammock technique publication-title: Aesthetic Plast Surg – volume: 117 start-page: 351 year: 2006 end-page: 358 ident: bib3 article-title: Prospective study of outcomes after reduction mammaplasty: long-term follow-up publication-title: Plast Reconstr Surg – volume: 34 start-page: 59 year: 2010 end-page: 64 ident: bib1 article-title: Improvement in quality of life and self-esteem after breast reduction surgery publication-title: Aesthetic Plast Surg – volume: 31 start-page: 266 issue: 3 year: 2007 ident: 10.1016/j.bjps.2012.04.033_bib10 article-title: Long-lasting evolution of ptosis control after reduction mammaplasty using the hammock technique publication-title: Aesthetic Plast Surg doi: 10.1007/s00266-006-0188-3 – volume: 45 start-page: 575 issue: 6 year: 2000 ident: 10.1016/j.bjps.2012.04.033_bib2 article-title: Outcomes in breast reduction surgery publication-title: Ann Plast Surg doi: 10.1097/00000637-200045060-00001 – volume: 117 start-page: 351 issue: 2 year: 2006 ident: 10.1016/j.bjps.2012.04.033_bib3 article-title: Prospective study of outcomes after reduction mammaplasty: long-term follow-up publication-title: Plast Reconstr Surg doi: 10.1097/01.prs.0000201493.76256.65 – year: 2010 ident: 10.1016/j.bjps.2012.04.033_bib11 article-title: Defining pseudoptosis (bottoming out) 3 years after short-scar medial pedicle breast reduction publication-title: Aesthetic Plast Surg – volume: 82 start-page: 644 issue: 4 year: 1988 ident: 10.1016/j.bjps.2012.04.033_bib12 article-title: Preservation of projection after reduction mammaplasty: long-term follow-up of the inferior pedicle technique publication-title: Plast Reconstr Surg doi: 10.1097/00006534-198810000-00014 – volume: 104 start-page: 2282 issue: 7 year: 1999 ident: 10.1016/j.bjps.2012.04.033_bib4 article-title: An objective grading system for the evaluation of cosmetic surgical results publication-title: Plast Reconstr Surg doi: 10.1097/00006534-199912000-00058 – volume: 110 start-page: 71 issue: 1 year: 2002 ident: 10.1016/j.bjps.2012.04.033_bib6 article-title: Outcome analysis of reduction mammaplasty using the modified Robertson technique publication-title: Plast Reconstr Surg doi: 10.1097/00006534-200207000-00013 – volume: 3 start-page: 193 issue: 2 year: 1976 ident: 10.1016/j.bjps.2012.04.033_bib9 article-title: Breast ptosis. Definition and treatment publication-title: Clin Plast Surg doi: 10.1016/S0094-1298(20)30220-0 – volume: 29 start-page: 496 issue: 6 year: 2005 ident: 10.1016/j.bjps.2012.04.033_bib7 article-title: No-vertical-scar technique versus inverted T-scar technique in reduction mammoplasty: a two-center comparative study publication-title: Aesthetic Plast Surg doi: 10.1007/s00266-005-1054-4 – volume: 34 start-page: 59 issue: 1 year: 2010 ident: 10.1016/j.bjps.2012.04.033_bib1 article-title: Improvement in quality of life and self-esteem after breast reduction surgery publication-title: Aesthetic Plast Surg doi: 10.1007/s00266-009-9409-x – volume: 51 start-page: 444 issue: 6 year: 1998 ident: 10.1016/j.bjps.2012.04.033_bib5 article-title: A comparison of the patient and surgeon opinion on the long-term aesthetic outcome of reduction mammaplasty publication-title: Br J Plast Surg doi: 10.1054/bjps.1997.0081 – volume: 43 start-page: 65 issue: 2 year: 2009 ident: 10.1016/j.bjps.2012.04.033_bib8 article-title: Large-volume breast reduction: long-term results publication-title: Scand J Plast Reconstr Surg Hand Surg doi: 10.1080/02844310802594068 |
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| SubjectTerms | 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 |
| Title | Vertical scar versus the inverted-T scar reduction mammaplasty: A 10-year follow-up |
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