Markings

The markings are made in the operating room after the patient falls asleep. The areola is marked using a 3.5-cm-diameter areola marker (Figs. 11.1a, 11.2). A line is drawn from the midclavicular point to the nipple -the meridian line of the breast. Point A is marked on the projection of the submammary fold on the previ-

Markings For Breast Reduction
Fig. li.i a-l.
Areola Pics

Fig. 11.1. a The new areola is outlined with a 3.5-cm diameter. b Points B and C are marked by pinching the skin at the level of the nipple and seeing the amount of resectable skin in the horizontal plane. The position of point A is confirmed by the projection of the upper pole over the submammary sulcus. c Point D is marked 3.0 cm above the submammary sulcus and 10.0 cm from the xiphoid appendix. Points A-D are joined in curved and straight ways, achieving a lozenge-shaped outline. d The inferior based pedicle is outlined. e Deepithelialization within the markings. f A horizontal incision is made below

Fig. 11.1. a The new areola is outlined with a 3.5-cm diameter. b Points B and C are marked by pinching the skin at the level of the nipple and seeing the amount of resectable skin in the horizontal plane. The position of point A is confirmed by the projection of the upper pole over the submammary sulcus. c Point D is marked 3.0 cm above the submammary sulcus and 10.0 cm from the xiphoid appendix. Points A-D are joined in curved and straight ways, achieving a lozenge-shaped outline. d The inferior based pedicle is outlined. e Deepithelialization within the markings. f A horizontal incision is made below the areola and carried down to the pectoralis fascia. g After undermining of the inferior pole the inferior pedicle is created. h Resection of lateral and medial prolongations. i Following completion of inferior pedicle and resection of gland of upper pole of breast. j Fixation of pedicle on pectoralis fascia. k The closure of the breast is begun by closing the vertical incision until it is 4 to 7 cm from point D, depending on the size of the breast. l Checking for the presence of excess of skin. m The dog ear to be excised is marked. n Areola and vertical suturing is com-pleted.Vertical scar does not extend beyond submammary fold

Breast And Nipple Reduction For Women
Fig. 11.2. The new areola is outlined with a 3.5-cm diameter
Dermo Fixator Breast
Fig. 11.4. Point D is marked 3.0 cm above the submammary fold on the meridian line of the breast
Breast Reduction Markings
Fig. 11.3. Points A, B, and C are marked and joined with a curved line
Appendix Laser Operation
Fig. 11.5. Points B, D, and C are joined with straight lines, producing a lozenge-shaped outline, hence the designation "lozenge technique." Point D is located approximately 10.0 cm from the xiphoid appendix
Type2 Areola
Fig. 11.6. Deepithelialization of the lozenge area and marking Fig. 11.7. Elaboration of the inferior pedicle begins with a hori-of the inferiorly based pedicle zontal incision made immediately below the areola
Breast Pinching Image

ously drawn line. This becomes the future upper level of the areola. Points B and C are marked by pinching the skin, at the level of the nipple, and seeing the amount of excisable skin in the horizontal plane (Figs. 11.1b, 11.3).And, finally, point D is marked 2.5 to 3.0 cm above the submammary fold on the meridian line of the breast (Fig. 11.4). Points AB and AC are joined in a curved way, and points BD and CD are joined with a straight line, achieving a lozenge-shaped outline (Figs. 11.1c, 11.5). The transposition of points A, B, C, and D to the contralateral breast is done with the aid of suture lines placed over the sternal notch and the xiphoid appendix.

Was this article helpful?

0 0
How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

Get My Free Ebook


Responses

  • chilimanzar
    What is a breast appendix?
    3 years ago
  • Alana
    What is meridian line in breast reduction?
    1 year ago

Post a comment