It combines the two timehonored breast surgery techniques of wise pattern breast reshaping and skin sparing mastectomy. Specialist plastic surgeon perth dr mark hanikeri plastic. A comparison of the lejour and wise pattern methods of. Vicky tells her story 2 weeks following her breast reduction duration. Supporters of the vertical mammoplasty state the resultant breast shape and scar are superior to the wise pattern breast reduction. Demographic and perioperative data were collected, as. A retrospective study comparing patient outcomes of wise pattern inferior pedicle and vertical pattern medial pedicle reduction mammoplasty. Wise pattern breast reduction remains the most popular method of performing moderate to largesized breast reductions in the united states. Wise stated that the patterns greatly simplified the procedure, allowing the surgeon to design the skin flaps rapidly and to attain a measured breast reduction with confidence.
Wise and colleagues 1, 2 originally described special latex patterns of three separate sizes for accurate design of skin flaps. This incision pattern can be used, however, with superior or superomedial pedicle techniques, as well as with free nipple grafts. A stepbystep approach to a successful cosmetic breast reduction. The videos below illustrates the typical markings, as well as a breast reduction. It reduces, and can even eliminate, both the physical and emotional pain that disproportionately large breasts can cause. Prepectoral breast reconstruction wise pattern, skin reducing, mastectomy. The author performed a standard inferior pedicle wise pattern technique for the first 11 years of her practice and has now used variations of the vertical technique for the past 8 years. In cases of breast base constriction such as tubular breast deformity, overexpansion and volume reduction can be of benefit in improving the shape of the breast. This operation may be covered by health insurance if it is performed to relieve medical symptoms. Reduction mammoplasty is the plastic surgery procedure for reducing the size of large breasts. A recent cohort study, which compared superomedial pedicle vertical pattern reduction and inferior pedicle wise pattern resections in cohorts matched by age, comorbidity, and weight of reduction including reductions of up to 2 kg per breast, showed equivalence in complication rates between the two methods and decreased operative times favoring. Jul 20, 20 the operative goals on a breast reduction are always to reduce tissue, reduce the functional pain and weight of the breast upon the back and to aesthetically lift the breast without devascularization of the nipple areolar complex. The breast reduction videos provide many of the details of who can benefit from reduction mammoplasty.
The reduction procedure was modified to simply lift and shape the breasts, rather than focusing on removal of excess interior breast tissue. A reduction mammoplasty with the inferior pedicle, invertedt skin resection, and wise pattern parenchymal resection, is the most widely used technique in the united states due to reproducible markings that often yield consistent results, and the adaptability of the pattern to accommodate most breast. Treatment of wounds following breast reduction and mastopexy. Mastopexy and mastopexyaugmentation aesthetic surgery. Jul 17, 2018 hidalgo da, elliot lf, palumbo s, et al. Skin reduction can be performed with a long horizontal ellipse, but this often flattens the breast and leaves conspicuous scars medially on the chest. Wise pattern breast lift is the most extensive form of breast lift technique used by plastic surgeons, but can produce the most predictable results. Sep 08, 2014 mastopexy and reduction mammoplasty share techniques of pedicle formation and skin excision patterns, with the main difference being the amount of breast tissue resected.
Bilateral wise pattern breast lift question and personal. Breast reduction surgical incisions wise pattern vertical. It remains one of the most common styles of incision for breast reduction surgery as it is versatile and can provide predictable outcomes in very large reductions. Wise pattern breast reduction is one of the oldest and most common techniques used in breast reduction surgery.
This video highlights the marks and technical features of a standard inferior pedicle inverted t or wise pattern breast reduction. A, wise pattern incision inferior pedicle and various lower pole tumor excision sites. Neoareolar wise pattern reduction in patients requiring. A retrospective study of adolescents undergoing breast reduction by a single surgeon between 2011 and 2017 was conducted. Reduction mammoplasty also breast reduction and reduction mammaplasty is the plastic surgery procedure for reducing the size of large breasts. Pdf evolution of breast reduction techniques has been a result of combining different skin. Aug 22, 20 complex reduction techniques have been reported in the literature as feasible options for breast conservation surgery. Postoperative pictures are from 9 months after surgery, and illustrate her decrease in size from a d to. There were 105 women in group i and 103 women in group ii. More commonly known as the anchor pattern technique, wise pattern breast reduction is best for women with extremely large breasts. Breast reduction is a procedure that relieves pain. Breast reduction video gallery reduction mammoplasty.
Breast reductionwise pattern t scar walnut creek, ca. Aesthetic breast reduction is a common plastic surgery procedure with the potential for. The combination of the superomedial pedicle with the traditional wise pattern skin resection has gained increasing popularity for its versatility and ability to achieve significant reduction of breast parenchyma and skin envelope with improved contour and lasting results. You may be an excellent candidate for a full breast reduction procedure probably a traditional wise pattern in my hands. In my opinion you would best benefit from a hallfindlay short scar breast reduction procedure. The superomedial pedicle brings with it the ability to have improved upper pole fullness and breast shape, while the wise pattern skin resection allows for its reproducible, standardized, easily taught markings, and elimination of excess skin in both the vertical and horizontal dimensions. Keyhole pattern for preoperative marking for reduction. A wisepattern parenchymal resection is then marked obliquely from the inferior aspect of each vertical.
What guidelines would you use to determine nipple position in a wise pattern patient and in a verticaltype breast reduction patient. Breast reduction before and after pictures in richmond, va. The wise pattern breast reduction is a standard technique used to allow resection of tumours through a breast reduction technique. This exhibit depicts the bilateral reduction of breast tissue via inferior pedicle wise pattern. Breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body. Aug 14, 2017 no vertical scar breast reduction video to check pricing on a no vertical scar breast reduction from a doctor near you, click here. The solution is breast reduction surgery in delhi by dr. Elliot hirsch performs preoperative markings for an upcoming breast reduction surgery. This is a 21yearold, 52, 118 pound woman who wanted smaller, lighter breasts. Us7752768b2 marker template for breast reduction surgery.
The most common skin pattern is the inverted t or anchor pattern wise pattern. What we really need to look at is shape and the scar pattern, independent from the pedicle design. The paisley pattern breast reduction addresses this by incorporating. If your breasts are simply too large for your comfort or personal style, then you know the emotional and physical toll that overly large breasts can take on you. The neoareolar wise pattern reduction mammoplasty offers an option that allows for oncologically sound cancer surgery while simultaneously preserving cosmesis. Various types of excision patterns and orientation of pedicles were developed throughout the years, each with flares of popularity at different times. The wise pattern, sometimes called weiss pattern, mastopexy is the original breast lift procedure, which were developed from breast reduction surgery techniques, by dr. Modification of the wise pattern breast reduction for. She underwent bilateral breast reduction of over 3000 grams on each side using the classic wise pattern breast reduction surgery by dr. It uses a lollipop scar pattern, avoiding a transverse or horizontal scar and produces a perky and full breast which last longer the the traditional anchor or inverted t wise pattern breast reduction. A common problem with this technique is the occurrence of native skin flap necrosis of the most distal portions of the flap, particularly at the t junction. Pdf mastopexy and reduction mammoplasty pedicles and skin. A type iv ssm is used in large, ptotic breasts when a reduction is planned on the opposite breast. A video demonstrating the vertical sculpted pillar reduction mammaplasty.
Wise pattern therapeutic mammoplasty is a technique often used for breast conservation. Wisepattern mastopexy with breast augmentation before and. Superior and superomedial pedicle wisepattern reduction. A comparison of the lejour and wise pattern methods of breast. Nevertheless, the classic invertedt, inferior pedicle design with wise pattern skin markings, remains the most commonly used technique in. This entry was posted in procedures and tagged breast reduction, buildmybod health price estimator, vertical mastopexy, wise pattern by dr. Does the wiseanchor or vertical breast reduction scar. According to a 2006 survey of plastic surgeons, 69% used the. Breast reduction is the surgical treatment of macromastia, a condition that is defined by the presence of enlarged and heavy breasts. Review article full text access avoiding the unfavorable outcome with wise pattern breast reduction.
Our center has refined a wise pattern superior and superomedial pedicle breast reduction technique with predictable quality outcomes giving high patient satisfaction and a very low complication or revision rate fifty patients who underwent bilateral superior or superomedial pedicle wise pattern breast reduction were included in the study. The suitable candidate is a lady with a relatively large cup breast and an element of ptosis. The inverted t wise pattern mastectomy for patients with macromastia or significant breast ptosis has evolved along with generalized techniques for breast reconstruction. Mastopexy and reduction mammoplasty pedicles and skin. Severe breast deflation, nipple droop and asymmetry can be caused by an inherited condition, postpregnancy and by aging. Invertedt mammaplasty aesthetic surgery journal oxford.
Asbrs media consent forms can also be provided upon request. B, a 63yearold female with right pathological stage t1n0m0 invasive lobular carcinoma at the 11oclock position. Pedicles in vertical breast reduction and mastopexy. Mastopexy and reduction mammoplasty share techniques of pedicle formation and skin excision patterns, with the main difference being the amount of breast tissue resected. To facilitate video recording and production, the asbs has acquired several headmounted sony video cameras that can be provided to you on a shortterm loan to record your procedure. The asbrs has also contracted with giblib to help you edit your video. I think we have learned over the years that any pedicle can be used to achieve a good breast reduction.
Video thumbnail for vertical reductionmastopexy part 1. Teitelbaum provides video responses to common questions about breast reduction surgery. Wise pattern breast reduction involves removing skin from the center of the lower half of the breast, and then bringing skin from the sides around to meet in the middle. Templategoniometer for marking the wise keyhole pattern. Left oncoplastic breast reduction with right breast reduction for symmetry, 6 months post op. Please call 18889990410 for custom sizing and other options. The incisions and closures remained the same, but the alterations in.
Avoiding the unfavorable outcome with wise pattern breast. Various types of excision patterns and orientation of pedicles were developed throughout. The skin incisions are marked in a wise pattern 9 prior to surgery, as illustrated in fig. No vertical scar breast reduction video buildmybod health. The 2 most commonly performed skin resection patterns, the wise pattern and vertical pattern, each have limitat. Breast reduction surgery has two 2 technical aspects. I know that the wise pattern anchor allows more removal, however my surgeon said he may be able to go down to a c cup w a vertical incision but prefers the wise pattern. Tissue expander reconstruction lickstein plastic surgery. Bilateral wise pattern breast lift question and personal recommendation the problem with the wise pattern for simultaneous breast lifting and augmentation with implants is that the surgeon can easily lose control of the operation and end up with misshapen breasts, wound healing issues and miss the mark relative to cup size. We are now soliciting videos and invite you to submit your video to showcase your talents. Nov 20, 2015 severe breast deflation, nipple droop and asymmetry can be caused by an inherited condition, postpregnancy and by aging. However, with developments in reduction mammaplasty techniques, the wise pattern mastopexy was modified with parenchymal alterations and pedicle designs. Contact vivian ting, md today at 925 9498587 or visit our office servicing walnut creek, ca. Inclusion criteria consisted of patients that presented to the department of plastic and reconstructive surgery at the sheba medical center, telaviv, israel, with wound dehiscence following breast reduction or mastopexy with or without implants and subsequent open wounds.
Video library asbrs american society of breast surgeons. Breast reduction 2015breast reduction 2015 dr sumer yadavdr sumer yadav mch plastic and reonstructive surgerymch plastic and. Breast reduction surgery plastic surgeon newport beach. Welcome to our breast reductionwise pattern t scar page. Reconstruction of the ptotic breast using wise pattern. Inferior pedicle technique anchor pattern, invertedt incision, wise patternedit. I prefer the vertical incision lollipop as im prone to hyperpigmentation. Stock model images are used throughout this website and are for illustrative purposes only. Feb 23, 2016 breast reduction is one of the most common procedures performed by plastic surgeons in north america, south america, and europe.
All beforeandafter photos and patient testimonials on our site are from actual patients, and have been published with permission. Bilateral breast reduction and lift with free nipple technique and liposuction to the lateral flanks cup size prior to procedure. The superomedial pedicle wisepattern breast reduction. These patients can benefit greatly from a reduction in breast size, as most symptoms are relieved by reduction mammaplasty. Breast reduction videos learn about breast reduction. Nipple elevation can be accomplished nicely while achieving a great breast shape through this incision. Im scheduled to undergo a breast reduction sx next week. May 31, 2012 watch breast reduction with medial pedicle wise pattern on psen. She has personally found that the medial pedicle gives the best breast reduction results in her hands.
Welcome to our breast reduction wise pattern t scar page. Wise pattern mastectomy with immediate breast reconstruction. Watch breast reduction with medial pedicle wise pattern on. Download table preoperative and postoperative measurements of wise pattern breast reduction patients according to their pedicles from publication. However, many breast cancers occur in the breast outside the area that is normally resected with a wise pattern breast reduction. B, c two years after mammaplasty with an inverted t wisepattern breast reduction. The superomedial pedicle wisepattern breast reduction ncbi. The wise pattern breast surgery technique is the basis of most, if not all, breast reduction techniques that are being used in the present times. Specialist plastic surgeon perth dr mark hanikeri offers plastic surgery and nonsurgical treatments options to patients in and around subiaco, murdoch, bunbury and albany. We present a 16yearold female with hypertrophic breasts of bra size 38h, bra strap grooving, and worsening back and posterior shoulder pain limiting activity and affecting posture, who underwent bilateral reduction mammoplasty using the wise pattern inferior pedicle technique.
Download the complete video index tool, and use excel functionality to find. Secondary breast reduction aesthetic surgery journal. Video thumbnail for spair vertical breast reduction part 2. A wise pattern breast reduction incision can also be performed as an nsm or ssm with the use of a deepithelialized inferior mastec tomy flap 14 15 16 sutured to the freed inferior border. Breast reduction using the wise skin pattern on vimeo. Breast reduction surgery procedure scientific video and. The keyhole pattern corresponds to the incision pattern generally utilized for the vertical short scar and the inferior pedicle techniques for breast reduction or mastopexy surgery and comprises a generally circular pattern and a generally linear pattern, with the generally linear pattern extending downward from the generally circular pattern.
The wise skin pattern is most commonly associated with the inferior pedicle breast reduction technique. Skoll has described a modification of the wise pattern to avoid this complication. Video, which displays the borenstein breast reduction technique. Rad uses the wise pattern breast lift as a very powerful technique to. In a breast reduction surgery for reestablishing a functional bust that is proportionate to the womans body, the critical corrective consideration is the tissue viability of the nippleareola complex nac, to ensure the functional sensitivity and. Breast reduction surgery is a procedure to reduce the extra skin around breasts.
A prospective, randomized study was designed to compare the outcome of inferior pedicle wise pattern reduction group i with medial pediclevertical pattern reduction group ii in moderate resections averaging 500 g per breast. Drtim demonstrates a breast reduction using the wise pattern, often referred to as an anchor. The weight and size of the breast can be reduced using various surgical techniques. David lickstein is an expert boardcertified plastic surgeon in palm beach gardens, florida. The resulting scar is around the areola, vertical and horizontally at the level of the inframammary fold. Women with excessively large breasts macromastia who seek breast reduction often experience chronic pain and tension in their neck, shoulders, and upper back and a feeling of heaviness of the breasts.
Wise and vertical reduction techniques were compared based on demographics, surgical outcomes, patient satisfaction, and aesthetic outcomes. This gives a good immediate shape to the breast but, following surgery, there is a scar around the nipple areolar complex, a scar from the bottom. Fortunately, with a breast reduction surgery procedure, you can enjoy breasts that are smaller and that reflect the real you. Preoperative and postoperative measurements of wise pattern. For existing patients, please click here to download postop instructions. Pdf mastopexy and reduction mammoplasty share techniques of pedicle formation. Vertical sculpted pillar reduction mammaplasty in 317 patients. Wise pattern skin reduction is an effective technique for shaping, but excision of skin within the wise pattern can lead to high rates of skin necrosis and implant exposure or infection.
This submission details a novel means of breast reconstruction for women with macromastia or extreme ptosis. A full surgical process with the pictures of breasts before and after the surgery are shown here. Fiftyseven patients who underwent reduction mammaplasty between april 2006 and april 2007 were prospectively evaluated. Bilateral inferior pedicle wise pattern breast reduction. Total of 1687 g on the right and 0 g on the left breast removed using wise pattern inferior pedicle. Watch breast reduction with medial pedicle wise pattern on psen. Nov 08, 2018 online video library submission asbrs is launching an online video library in 2019 to coincide with the annual meeting. Chapter 94 inferior pedicle technique in breast reduction.
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