The authors present a less commonly used method in reduction and modelling of gigantomastia. They draw attention to the advantages of this surgical procedure which is based on rotation of the areola with a broad upper and lateral pedicle. They emphasize in particular the very good postoperative nutrition of the areolas with preservation of their sensitivity.

• MeSH
• hypertrofie chirurgie   MeSH
• lidé MeSH
• mamoplastika metody   MeSH
• prsní bradavky chirurgie   MeSH
• prsy patologie   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

The authors describe their experience with Lemperle's method of reduction mammoplasty. It is based on the procedure of Wise and Strombeck and involves resection of the lower quadrants. We used this operation in seventy patients of the age between seventeen and 55 years during last five years. Six of our cases (8.6%) were classified as gigantomasty, four of them (5.7%) as hypertrophy with asymmetry and sixty patients (85.7%) were classified as hypertrophy with ptosis. As to the postoperative complications, two patients (2.8%) developed partial necrosis of the areola with dehiscence of the vertical suture and one patient (1.4%) partial dehiscence of the vertical suture. The resected tissue volumes were between 4,500 g and 400 g. The patients were very pleased with the result of the operation.

• MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mamoplastika metody   MeSH
• mladiství MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

The authors used a reductive mammaplasty technique with superior pedicled dermoglandular flap described by Lalardrie in 1972 and modified by Lauro. Twenty-eight patients who presented medium to heavy macromasty were treated. In all these cases the aesthetic result was very satisfactory and major complications, like extended tissue necrosis, were not encountered. This method proves safe and effective in cases of significant gigantomasty for the following reason: for the efficient vascularization of the flap, it is possible to carry out significant transposition of the areola-nipple complex without risk of complications. This technique can be used in less serious cases in conjunction with other equally easy techniques. Because of its simplicity, this technique also allows younger, less experienced, surgeons to approach this type of surgery with the necessary peace of mind.

• MeSH
• chirurgické laloky * MeSH
• lidé MeSH
• mamoplastika metody   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH