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Hudson DA, Moodley S. Breast Reduction: Decreasing Complications and Improving Long-Term Aesthetic Results with Parenchymal Sutures. Plast Reconstr Surg Glob Open. 2017;5(9):e1470doi: 10.1097/GOX.0000000000001470.
Hudson, D. A., & Moodley, S. (2017). Breast Reduction: Decreasing Complications and Improving Long-Term Aesthetic Results with Parenchymal Sutures. Plastic and reconstructive surgery. Global open, 5(9), e1470. https://doi.org/10.1097/GOX.0000000000001470
Hudson, Donald Anthony, and Moodley, Sean. "Breast Reduction: Decreasing Complications and Improving Long-Term Aesthetic Results with Parenchymal Sutures." Plastic and reconstructive surgery. Global open vol. 5,9 (2017): e1470. doi: https://doi.org/10.1097/GOX.0000000000001470
Hudson DA, Moodley S. Breast Reduction: Decreasing Complications and Improving Long-Term Aesthetic Results with Parenchymal Sutures. Plast Reconstr Surg Glob Open. 2017 Sep 19;5(9):e1470. doi: 10.1097/GOX.0000000000001470. eCollection 2017 Sep. PMID: 29062642; PMCID: PMC5640347.
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Plast Reconstr Surg Glob Open. 2017 Sep 19;5(9):e1470. doi: 10.1097/GOX.0000000000001470. eCollection 2017 Sep.

Breast Reduction: Decreasing Complications and Improving Long-Term Aesthetic Results with Parenchymal Sutures.

Plastic and reconstructive surgery. Global open

Donald Anthony Hudson, Sean Moodley

Affiliations

  1. Department of Plastic Surgery, University of Cape Town, Cape Town, South Africa and the Academy of Plastic Surgery, Cape Town, South Africa.

PMID: 29062642 PMCID: PMC5640347 DOI: 10.1097/GOX.0000000000001470

Abstract

BACKGROUND: The inverted T/keyhole pattern is commonly used for large breast reductions. This technique relies on the breast skin to retain the shape. With the passage of time "fallout" (pseudoptosis) occurs impairing the cosmetic result. A technique is described that uses parenchymal sutures and inframammary fold (IMF) reinforcement sutures to maintain the intraoperative shape.

METHODS: A retrospective study of 25 consecutive patients (50 breasts) where the IMF was reinforced and parenchymal sutures were inserted. The patients were followed up and the nipple to notch and nipple to IMF distance was measured and compared with that marked preoperatively and set intraoperatively. Complications, especially T junction breakdown, were also recorded.

RESULTS: The mean age was 38 years (range, 16-62 years) with a mean follow-up of 12 months. The mean body mass index was 31 (range, 22-41). The mean mass of tissue excised was 925 g (range, 340-1,800 g) per side. The distance from the suprasternal notch to the nipple remained unchanged. The distance from the nipple to the IMF remained the same as that marked preoperatively except in 3 patients who developed pseudoptosis. Only 3 patients had wound dehiscence.

CONCLUSION: Parenchymal and superficial fascial system sutures combined with IMF reinforcement contributes to maintaining the aesthetic result and decreasing complications, in weight stable patients.

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