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Published byOswin Byrd Modified over 5 years ago
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The latero-central glandular pedicle technique for breast reduction
Phillip N Blondeel, Moustapha Hamdi, Karlien A Van de Sijpe, Koen H.I Van Landuyt, Filip E.F Thiessen, Stan J.M Monstrey British Journal of Plastic Surgery Volume 56, Issue 4, Pages (June 2003) DOI: /S (03)
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Fig. 1 (A) Pre-operative markings similar to the superior dermal pedicle with vertical scar technique; (B) marking of the level of the main vascular and nervous structures to the NAC (red line) and positioning of the laterocentral glandular pedicle (shaded area); (C) marking of the level of the horizontal resection. British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 2 Schematic representation of the technique (see text for more details): (a) incisions and skin undermining; (b) creation of the glandular column; (c) the horizontal resection; (d) the vertical resection; (e) and (f) cranial repositioning of the glandular column with the NAC; (g) suturing of the medial and lateral pillar; (h) skin closure. British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 3 Schematic drawings illustrating the course of nerves and vessels in the breast (a) and comparing the technique of Hall-Findlay (b) and the latero-central glandular technique (c). British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 4 Three years post-op result in a 20-year-old patient.
British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 5 Three years post-op result in a 52-year-old patient.
British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 6 Illustrative drawing demonstrating the use of the increase in the length of the vascular-nervous pedicle to facilitate the rotational movement of the NAC and to increase the projection of the nipple. British Journal of Plastic Surgery , DOI: ( /S (03) )
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