eMedicine Specialties > Plastic Surgery > Breast

Breast Reduction, Simplified Vertical: Multimedia

Author: Elizabeth J Hall-Findlay, MD, FRCS(C), Private Practice, Banff Plastic Surgery Centre
Contributor Information and Disclosures

Updated: Oct 21, 2009

Multimedia

Simplified vertical breast reduction, surgical te...
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Media file 1: Simplified vertical breast reduction, surgical technique. A, Markings. B, Pedicle design. C, Creation of the pedicle. D, Parenchymal resection. E, Closure of the pillars. F, Closure.
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Simplified vertical breast reduction, surgical te...

Simplified vertical breast reduction, surgical technique. A, Markings. B, Pedicle design. C, Creation of the pedicle. D, Parenchymal resection. E, Closure of the pillars. F, Closure.

Simplified vertical breast reduction. A, Preopera...
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Media file 2: Simplified vertical breast reduction. A, Preoperative markings with relationship of markings to Wise pattern. B, Resection specimen. C, Design and creation of the medial pedicle. D, Closure of the base of the areolar opening. E and F, Medial pedicle rotated into position. G, Arrows show the bottom of the pillars (about half way up the vertical opening). Pillar closure occurs above the arrows. H, Closure of the deep dermis. I, Closure of the areola and vertical closure. This vertical incision is no longer gathered. The tissue that is left behind follows the Wise pattern. The tissue that is removed is below the Wise pattern.
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Simplified vertical breast reduction. A, Preopera...

Simplified vertical breast reduction. A, Preoperative markings with relationship of markings to Wise pattern. B, Resection specimen. C, Design and creation of the medial pedicle. D, Closure of the base of the areolar opening. E and F, Medial pedicle rotated into position. G, Arrows show the bottom of the pillars (about half way up the vertical opening). Pillar closure occurs above the arrows. H, Closure of the deep dermis. I, Closure of the areola and vertical closure. This vertical incision is no longer gathered. The tissue that is left behind follows the Wise pattern. The tissue that is removed is below the Wise pattern.

Simplified vertical breast reduction in a 34-year...
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Media file 3: Simplified vertical breast reduction in a 34-year-old patient weighing 185 lb with a bra size of 36 F. A and B, In this patient, 625 g was removed from the right breast, and 720 g was removed from the left breast. C, Result at the end of the procedure. Gathering of the vertical incision is no longer performed. D-F, Images at 9 days after surgery. G-I, Images at 4 months after surgery.
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Simplified vertical breast reduction in a 34-year...

Simplified vertical breast reduction in a 34-year-old patient weighing 185 lb with a bra size of 36 F. A and B, In this patient, 625 g was removed from the right breast, and 720 g was removed from the left breast. C, Result at the end of the procedure. Gathering of the vertical incision is no longer performed. D-F, Images at 9 days after surgery. G-I, Images at 4 months after surgery.

Simplified vertical breast reduction, preoperativ...
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Media file 4: Simplified vertical breast reduction, preoperative and postoperative results. (A, B, C) Preoperative views. Amount to be removed from the right breast, 370 g; left, 340 g. D-F, At 2 months after surgery, the patient has a good shape with limited scarring. G-I, Forty months after surgery, the shape is well maintained.
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Simplified vertical breast reduction, preoperativ...

Simplified vertical breast reduction, preoperative and postoperative results. (A, B, C) Preoperative views. Amount to be removed from the right breast, 370 g; left, 340 g. D-F, At 2 months after surgery, the patient has a good shape with limited scarring. G-I, Forty months after surgery, the shape is well maintained.

Simplified vertical breast reduction. A-E, Preope...
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Media file 5: Simplified vertical breast reduction. A-E, Preoperative photographs. In this patient, 775 g was removed from the right breast, and 665 g was removed from the left breast. F, Result at the end of the procedure. Gathering of the vertical incision is no longer performed. G-I, Nine months after surgery. Too much indentation (on the right side) results in a pucker when the arms are elevated.
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Simplified vertical breast reduction. A-E, Preope...

Simplified vertical breast reduction. A-E, Preoperative photographs. In this patient, 775 g was removed from the right breast, and 665 g was removed from the left breast. F, Result at the end of the procedure. Gathering of the vertical incision is no longer performed. G-I, Nine months after surgery. Too much indentation (on the right side) results in a pucker when the arms are elevated.

Simplified vertical mastopexy. A and B, Before ma...
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Media file 6: Simplified vertical mastopexy. A and B, Before mastopexy. C, Result at the end of the procedure. D-F, Three weeks after surgery. G-I, Three years after surgery.
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Simplified vertical mastopexy. A and B, Before ma...

Simplified vertical mastopexy. A and B, Before mastopexy. C, Result at the end of the procedure. D-F, Three weeks after surgery. G-I, Three years after surgery.

Breast anatomy.
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Media file 7: Breast anatomy.
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Breast anatomy.

Breast anatomy.

More on Breast Reduction, Simplified Vertical

Overview: Breast Reduction, Simplified Vertical
Treatment: Breast Reduction, Simplified Vertical
Follow-up: Breast Reduction, Simplified Vertical
Multimedia: Breast Reduction, Simplified Vertical
References
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Further Reading

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Keywords

vertical reduction mammaplasty, breast reduction, simplified vertical, mammaplasty, mammoplasty, vertical reduction, medial pedicle vertical technique, vertical mastopexy, medial pedicle vertical reduction mammaplasty, mastopexy

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Contributor Information and Disclosures

Author

Elizabeth J Hall-Findlay, MD, FRCS(C), Private Practice, Banff Plastic Surgery Centre
Elizabeth J Hall-Findlay, MD, FRCS(C) is a member of the following medical societies: Alberta Medical Association, American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Canadian Medical Association, Canadian Society for Aesthetic (Cosmetic) Plastic Surgery, and Canadian Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Pankaj Tiwari, MD, Assistant Professor, Division of Plastic Surgery, Ohio State University
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

James Neal Long, MD, Assistant Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, University of Alabama at Birmingham and Kirklin Clinics
James Neal Long, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Plastic Surgery Research Council, Sigma Xi, Southeastern Society of Plastic and Reconstructive Surgeons, and Southeastern Surgical Congress
Disclosure: Nothing to disclose.

 
 
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