Nipple Areola Malposition

Post-Op

Fig. 13.7. A very large vertical reduction with an unfavorable result. Insufficient skin and parenchymal excision in the central and lower pole of the breast. a Preoperative view. b Postoperative result prior to major revision. c Following revision. d, e Pre- and postoperative result following revision

Post-Op

Fig. 13.8. Nipple position too high, right breast

Table 13.4. Statistical reviews of complications with different breast reduction techniques

Author

Technique

Seroma Hematoma

Infection Partial areola loss

Delayed wound healing

Revision rate

[15]

Lejour

4.2% 1%

1%

4.2%

[16]

Lejour

5% 1.3%

0.4% 0.4%

5.5%

[27]

Lejour

40%

20%

[17]

Lejour

16% 5%

9%

18%

16%

[18]

Lejour

6%

7%

Author

Technique

Minor complication

Major complication

Revision rate

[21]

Lejour

30%

15%

28%

Modified Lejour

15%

5%

22%

Author

Technique

Total complications

Delayed wound healing

[24]

Wise

53% 19%

19%

[26]

Wise

20%

[25]

Wise

41% 29%

29%

Fig. 13.8. Nipple position too high, right breast

showed a 41% complication rate and 29% delayed healing. Obviously, complications and delayed healing are observed in all methods of breast reduction (Table 13.4).

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