Principle and Logic of Vertical Reduction Repair Double-Ring Breast Reduction

Background

Secondary reduction mammaplasty poses challenges.

Objectives

This article delves into the reasons and complaints regarding secondary repair following double-ring method and outlines the principle and logic of utilizing vertical incision for repair.

Methods

A retrospective analysis of patients who underwent secondary reduction mammaplasty in our hospital was conducted. The analysis included baseline demographic data, reasons for consultation, surgical records, and postoperative outcomes.

Results

Thirty-five patients (70 breasts) underwent secondary reduction mammaplasty. The mean time between the primary reduction mammaplasty and second procedure was 2.99 years (range, 0.5–15years). The mean weights were 210.49g (range, 42–558g) and 207.91g (range, 6–560g) for left and right mastectomies, respectively. Reasons for secondary reduction mammaplasty include poor shape (flat breasts and pseudoptosis), widened incision scar, persistent macromastia, and bilateral asymmetry.

Conclusions

The superior and superomedial vertical techniques are safe, effective, and satisfactory in secondary reduction mammaplasty.

Level of Evidence IV

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