Objectives: The authors describe their experience with power-assisted liposuction mammaplasty (PALM), a novel technique for breast reduction in patients suffering from gigantomastia.

Introduction: Resection and reshaping of the parenchyma are common procedures to produce a natural breast shape in reduction mammaplasty and mastopexy. The challenges of these practices include maintaining sensitivity of the nipple-areola complex (NAC), achieving upper-pole fullness, and preserving an adequate blood supply for patients with massive breast ptosis.

Materials / method: One hundred fifty consecutive women (300 breasts) who underwent PALM were evaluated in a prospective study. Minimizing skin undermining and glandular resection ensured maximal blood supply to the breast. A lateral pedicle was created to preserve NAC sensitivity. The transposed gland was contained within a large pocket made in the upper-inner quadrant. Glandular suspension sutures from the dermis to the chest wall stabilized the breast and recreated the inframammary fold.

Results: The mean distance from the nipple to the sternal notch was 36 cm, the mean NAC elevation was 16 cm, the mean lipoaspirate volume per breast was 650 cc, and the mean glandular resection mass per breast was 240 g. Complications included wound infection (2%), wound dehiscence (1%), and seroma (3%). Partial areolar necrosis occurred in 1.3% of cases, and 6% underwent revisional surgery.

Conclusion: PALM is a safe and reliable option for breast reduction and is indicated for patients with massive breast ptosis

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Description d'une technique chirurgicale pour obtenir des seins projetés et coniques

Introduction: Les jolis seins sont habituellement coniques et ont un complexe areolo mamelonaire qui est situé au sommet du cone mammaire.

Materials / method: Les seules techniques chirurgicales permettant d'obtenir cette forme se basent sur une amputation verticale du sein mais toutes les techniques dites verticales ne sont pas adaptées; La MVTL, avec une "central wedge resection", permet d'obtenir cette projection desirée.

Results: Les résultats à court terme, moyen terme et long terme sont commentés.

Conclusion: La MVTL est la seule technique verticale qui permet de reduire des seins et d'obtenir des seins projetés et coniques avec un minimum de cicatrices.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: 3 innovations to classic Mc kissock breast reduction in treatment of huge breast

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability