Comparison of the Rubin Dermal Suspension Sutures and Total Parenchymal Reshaping Technique With a Traditional Inverted
- PDF / 415,922 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 63 Downloads / 196 Views
ORIGINAL ARTICLE
BREAST
Comparison of the Rubin Dermal Suspension Sutures and Total Parenchymal Reshaping Technique With a Traditional Inverted T-Scar Reduction Mammaplasty Technique Using a Superior Pedicle S. U. Eisenhardt • H. Nienhueser • D. Braig V. Penna • H. Bannasch • N. Torio-Padron
•
Received: 27 June 2013 / Accepted: 6 September 2013 / Published online: 12 October 2013 Ó Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013
Abstract Adipose patients, especially after massive weight loss, pose a challenge to the breast surgeon due to the major loss of volume and the inelasticity of the skin. Rubin described a suitable mammaplasty technique for these patients involving dermal suspension sutures and total parenchymal reshaping. With this technique, the tissue of the prominent axillary skin fold typically found in patients with massive weight loss is used to increase the upper pole volume of the breast. To prove the effectiveness of this technique, the current study compared it with a traditional inverted T-scar technique using a superior pedicle, as described by Ho¨hler. This technique usually is used for a different patient clientele that requires reduction mammaplasty. However, because none of the difficult aforementioned preconditions are found in this clientele, it leads to the best possible outcome and represents the authors’ internal ‘‘gold standard’’ for mammaplasty against which all other techniques must be compared. This study retrospectively analyzed the complication rate, lift effect, and upper pole fullness by chart analysis and photometric analysis of 21 Ho¨hler and 24 Rubin mammaplasties. Despite the more challenging patient clientele in the Rubin groups, both therapies achieved a similar lift effect without significant differences (Ho¨hler 4.8 ± 3.3 cm vs Rubin 6 ± 4 cm). In both groups, the upper pole area increased significantly. The ratio of upper pole-to-lower pole area increased from 1.31 preoperatively to 2.1 postoperatively in the Rubin group, suggesting a redistribution of tissue in favor of the upper
S. U. Eisenhardt (&) H. Nienhueser D. Braig V. Penna H. Bannasch N. Torio-Padron Department of Plastic and Hand Surgery, University of Freiburg Medical Center, Hugstetter Strasse 55, 79106 Freiburg, Germany e-mail: [email protected]
pole, and it increased from 1.18 to 1.69 in the Ho¨hler group, indicating an even greater increase in upper pole volume in the Rubin group. In conclusion, the technique described by Rubin, despite the dramatically more difficult soft tissue condition of the patients with massive weight loss, results in an outcome similar to that of a traditional reduction mammaplasty technique in terms of increased upper pole volume. It is suitable and preferable for patients who have a lateral axillary roll deformity and can be applied safely for these patients without increasing the complication rate. Level of Evidence IV This journal requires that authors assign a level of evidence to each
Data Loading...
