Medicolegal Issues in Breast Reduction
Areas of general risk are discussed with patients before surgery. Procedure-specific risks inherent in each technique are a key part of informed consent. Issues related to insurance coverage must be…
Avoiding Complications in Gigantomastia
Gigantomastia is a disabling condition for patients and presents unique challenges to plastic surgeons. Presentation can occur throughout different phases of life, and treatment often begins with nonoperative measures; however,…
Breast Reduction in the Burned Breast
Mammary hypertrophy can occur in the postburn breast. Patients with burned breasts exhibit the same symptoms of symptomatic macromastia as patients with unburned breasts. The extent of the deformity, the…
Managing Necrosis of the Nipple Areolar Complex Following Reduction Mammaplasty and Mastopexy
The objectives of this article are to explain the mechanisms of injury that result in ischemia of the nipple areolar complex (NAC) after reduction mammaplasty or mastopexy, to offer recommendations…
Management of the Ischemic Nipple–Areola Complex After Breast Reduction
Early and accurate diagnosis and treatment of nipple–areolar complex (NAC) ischemia and necrosis are fundamental to the practice of breast surgery. Knowledge of breast anatomy, risk factors, and proper technique…
Management of Asymmetry After Breast Reduction
Breast reduction surgery has achieved one of the highest patient satisfaction rates among plastic surgery procedures. Most of the complications encountered are usually minor and related to wound healing. Revision…
Management of the High-Riding Nipple After Breast Reduction
Postoperative nipple malposition can be an aesthetically devastating problem for patients and a formidable challenge for surgeons. Reduction mammoplasty often includes plans to elevate the nipple-areolar complex (NAC); however, overelevation…
Management of Recurrent or Persistent Macromastia
Recurrent or persistent macromastia can occur after breast reduction. This may be due to inadequate primary volume reduction, poor postoperative shape, and breast or nipple-areola complex asymmetry. Postpartum breast changes,…
The Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty
Breast reduction is one of the most common plastic surgery procedures performed on the breast. There are now numerous alternatives to the standard inverted-T inferior pedicle technique. The short scar…
Managing Complications in Vertical Mammaplasty
In this paper, we describe our experience with the Lejour vertical scar mammaplasty from its description throughout 25 years of practice. Our work aims to focus on reducing vertical scar mammaplasty…
