BACKGROUND Breast reduction surgery is a very common procedure; however, there is still no consensus as to whether antibiotics should be used perioperatively. OBJECTIVE To review the world literature and perform a meta-analysis of studies comparing wound infection rates with antibiotic use in breast reduction surgery. METHODS A literature search was performed using the MEDLINE, Cochrane Dat...

Reduction mammaplasty combining a superomedial pedicle with a circumareolar/vertical pattern skin excision avoids an inferior pedicle that can interfere with vertical scar technique, yet it is flexible enough to allow for a short transverse skin excision. This technique is suitable for small to moderate-size reductions.

BACKGROUND Vertical scar reduction mammaplasty has the advantage of reduced scar burden and improved long-term projection of the breasts. The technique has been criticized for being restricted to cases of mild to moderate mammary hypertrophy and is considered more intuitive and difficult to learn when compared with more conventional inverted-T scar reduction mammaplasties. This article describe...

Reduction mammaplasty is the volumetric reduction in the bulk of the breast. Techniques have evolved from primarily reducing the breast bulk to reducing with emphasis on functional and aesthetic outcome. The deeper understanding of the surgical anatomy of the breast has guided this development. While Paulus Aegina (sixth century AD), Dieffenbach (1848) and Gaillard-Thomas (1882) set the pace in...

BACKGROUND Patients with breast hypertrophy often experience a number of physical symptoms (including intertrigo, painful bra strap grooves, upper and lower back pain, shoulder pain, neck pain, arm pain, numbness or pain in the hands, breast pain, and headaches), as well as psychosocial difficulty. Although these preoperative symptoms have been well-documented in the literature, formal postoper...

The authors describe a vertical reduction mammaplasty technique for avoiding skin excess at the vertical scar. Conical projection of the breast is achieved by cranial to caudal gland-shaping sutures. Excision of redundant skin is performed in a triangular pattern, creating bilateral dog ears. Resection of these dog ears results in a short, symmetrical horizontal scar located at the new submamma...