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MEDISAN

On-line version ISSN 1029-3019

Abstract

JIMENEZ REYES, Walgener  and  SOTOLONGO ARGUELLES, Yuniet. Reduction mastoplasty by means of the inferior pedicle technique in patients with mammary hypertrophy. MEDISAN [online]. 2021, vol.25, n.5, pp.1101-1112.  Epub Sep 29, 2021. ISSN 1029-3019.

Introduction:

The reduction mastoplasty by means of the inferior pedicle technique is one of the most used cosmetic surgical interventions to correct mammary hypertrophy.

Objective:

To characterize the patients with mammary hypertrophy to whom reduction mastoplasty was practiced with the inferior pedicle technique.

Methods:

A descriptive, observational, cross-sectional and retrospective study of 185 patients between 10 and 59 years, with diagnosis of mammary hypertrophy was carried out. They were assisted in the Plastic Surgery and Caumatology Service of Octavio de la Concepción y de la Pedraja Teaching General Hospital from the municipality of Baracoa, to whom reduction mastoplasty by inferior pedicle technique was practiced, from January, 2004 to December, 2020.

Results:

In the series there was a prevalence of the females between 30-39 years (42.8 %), the cosmetic results with good evaluation (90.3 %), few complications (20.0 %), with primacy of the skin necrosis in the inferior space of the flap union (7.0 %) and the patients satisfied with the procedure (93.5 %). The dried up glandular tissue varied in less than 300 grams and more than 1 200, according to the degree of hypertrophy.

Conclusions:

The mammary reduction technique to inferior pedicle is versatile, safe and applicable to all types of hypertrophy, with a low rate of complications; also it offers favorable cosmetic results and high degree of satisfaction.

Keywords : reduction mastoplasty; mammary hypertrophy; gigantomastia; macromastia; plastic surgery; surgical technique.

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