Plastic and Reconstructive Surgery

Skip Navigation LinksHome > February 2009 - Volume 123 - Issue 2 > Septum-Based Mammaplasty: A Surgical Technique Based on Würi...
Plastic & Reconstructive Surgery:
doi: 10.1097/PRS.0b013e318196b852
Breast: Original Articles

Septum-Based Mammaplasty: A Surgical Technique Based on Würinger's Septum for Breast Reduction

Hamdi, Moustapha M.D., Ph.D.; Van Landuyt, Koenraad M.D., Ph.D.; Tonnard, Patrick M.D.; Verpaele, Alex M.D.; Monstrey, Stan M.D., Ph.D.

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Background: During the past 7 years, the senior author (M.H.) has been performing septum-based mammaplasty. The aim of this article is to report the safety and ease of breast shaping by using this technique.

Methods: A series of 110 consecutive patients underwent septum-based breast reduction performed by a single surgeon. This technique uses a lateral or medial pedicle based on Würinger's horizontal septum, which carries the main nerve supply to the nipple in addition to intercostal perforators.

Results: Mean nipple-to-sternal notch distance was 33 cm (range, 22 to 45 cm). Mean resection was 658 g (range, 160 to 1980 g). Nipple elevation was 9 cm on average (range, 3 to 17 cm). A retroareolar hematoma occurred in three breasts. Total areola necrosis occurred in one breast (0.5 percent) as a result of an infection in a diabetic patient. Limited wound dehiscence occurred in 15 breasts (7.7 percent). A secondary scar revision was needed in 10 patients (9 percent). One patient required a revision.

Conclusions: Based on a well-vascularized and constant anatomical septum, a septum-based pedicle is safe, even in large breasts. This technique is safe and demonstrates ease of pedicle shaping and breast remodeling in patients undergoing reduction mammaplasty.

©2009American Society of Plastic Surgeons


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