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Approaches to soft tissue envelope

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The approach to the soft tissue envelope in breast reduction surgery is essentially independent from the techniques used to address the volume of the reduction by resection of the underlying fat and mammary gland tissue. However, certain approaches to the skin incision and skin removal have come to be associated with a given approach to the underlying mound.

Approaches to the skin and soft tissue envelope include:

  • inverted T or Wise pattern approach (Wise 1956)
  • vertical scar and modifications:
    • Lassus 1964
    • Lejour 1980
    • Shin and Lee 1992
    • Hall-Findlay 1999
    • Ramirez 2002
  • L scar (Dufourmental 1961)
  • B scar (Regnault 1975)
  • O periareolar scar (Benelli 1990)
  • free nipple grafting:
    • Lexer 1921
    • Thorek 1931

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