Reduction mammoplasty, vertical pattern

1. Moeez Fatima
VERTICAL REDUCTION
MAMMOPLASTY

2. SKIN
RESECTION
PARENCHYMAL
RESECTION
PEDICLE
DESIGN

3. DESIGN

4. INVERTED- T VERTICAL
Tends to use the skin
brassiere to hold the breast
shape.
Tends to use the breast
parenchyma to provide and
maintain the shape.
Removes a horizontal ellipse
of skin
Removes vertical ellipse
Involves chasing dog-ears
medially and laterally
Involves chasing dog-ears
superiorly and inferiorly
Flattens the breast Increases breast projection
vertical skin length from
nipple to IMF is restricted to
about 5cm.
Vertical scar length is
increased

5. Patient selection
 upper back pain
 rashes
 bra strap grooves
 neck pain
 shoulder pain
 Numbness
 Arm pain

9. Determination of New Nipple Position
 Anterior projection of IMF.
 10 cm below the upper breast border on the ideal
breast meridian-which is about 10 cm from the
chest midline.
 Midpoint of the acromion to humerus distance.

21. DRAINS & ANTIBIOTICS??

22. DRESSING
The wounds are dressed with
paraffin gauze, followed by dry
gauze, and finally by abdominal
pads. These are held in place
by the patient’s bra.

23. POST OPERATIVE CARE
 Postoperative day 1– Take
shower.
 Postoperative day 5- Removal of
skin staples and Steri-Strips are
applied.
Patients should wear a bra at all
times for 3 weeks following
surgery.
Postoperatively 3weeks- return to
their normal level of activity.
Postoperatively 1month- physically

24. COMPLICATIONS
 Hematoma
 Seroma
 Nipple-Areolar Necrosis
 Infection
 Wound Healing
 Asymmetry
 Under-resection
 Puckers

25. THANK YOU