Objectives: This study is meant to describe the new philosophy brought to mammaplasties with the Moufarrege Total Posterior Pedicle which goes beyond what has been presented until these days.
Introduction: Until recently, the only role of the nipple-areola pedicle was to maintain the nipple-areola complex alive; little has been invested as concern among authors to ensure other functions for the nipple's pedicule.
The Moufarrege Total Posterior pedicle takes care of this missing character.
Materials / method: In the domain of reduction or lifting mammaplasty, an essential and anavoidable element
is required for a succesfull surgery: The nipple-areola complex pedicle.
For a long time, this pedicle used to serve only as as a tool to preserve the viability
of the nipple and the areola. This was its sole purpose; and until now, all
traditional mammaplasty techniques stick to this basic function without claiming
any advantage or any goal beyond it.
This role showed a tendency to evolve in the early 1970s with the upcoming of
the inferior pedicles promoted by Mc kissock (1971), followed by Robbin
Results: Since 1979, Moufarrege created his Total Posterior Pedicle using all the remaining
gland as Pedicle for the nipple-areola complex: With this, the functional pedicle
was born.
Conclusion: Conclusion : The Moufarrege Total Posterior Pedicle, the only known functional nipple-areola complex pedicle
There is no other mammaplasty technique in literature that allows to preserve all the previously mentioned functions except the Moufarrege Total Posterior Pedicle : security of the nipple-areolar complex, preservation of breastfeeding function, preservation of erogenous sensation of the nipple, protection against cancer in a 64% proportion in patients over 35 years old. All these advantages make the Total Posterior Pedicle a FUNCTIONAL PEDICLE.
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