Breast Beauty
Reduction mammoplasty with the modified Benelli round block technique: applied anantomy, technique and long-term follow-up results
Antang Liu, Yinjia Ding, Wei Ding, Meiqing Sun, Jianglin Zhang, Yaozhong Zhao, Xiaohai Zhu, Hua Jiang
Published 2018-02-15
Cite as Chin J Med Aesth & Cosmet, 2018, 24(1): 28-31. DOI: 10.3760/cma.j.issn.1671-0290.2018.01.009
Abstract
ObjectiveTo clarify the applied anatomy of Chinese female breasts, to improve the breast reduction mammoplasty, and to compare the quality of life in women with symptomatic macromastia before and after reduction mammoplasty with the modified round block technique.
MethodsThe blood supply and innervation of the nipple-areolar complex were dissected in 6 Chinese adult females (12 breast specimens). Special attention was paid to the Würinger horizontal septum and the medial and lateral ligaments. The specific beneficial effects of reduction mammoplasty were evaluated with the modified round block technique, and a general questionnaire the Short Form-36 Health Survey Questionnaire (SF-36) was used in this study, which has good reliability and validity. The scores of the patients before and after the surgery were collected respectively.
ResultsIn 12 breast specimens, there existed Würinger horizontal septum and the medial and lateral ligaments. The blood supply and nerve innervation of nipple-areolar complex went along Würinger horizontal septum. In all the patients enrolled, SF-36 showed significant higher quality of life after the operation with regard to 7 of 8 investigated domains. Role of emotion increased most significantly. Increased self-esteem and increased personal and public self-consciousness after surgery were observed.
ConclusionsThe incidence of postoperative complications is reduced after using the modified round block technique. Patients have a higher degree of satisfaction overall. These data are further evidence that breast hypertrophy is not solely an esthetic problem. The reduction mammoplasty with the modified round block technique is an ideal technique.
Key words:
Applied anatomy of breast; Macromastia; The round block technique; Reduction mammoplasty; Quality of life
Contributor Information
Antang Liu
Department of Plastic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
Yinjia Ding
Wei Ding
Meiqing Sun
Jianglin Zhang
Yaozhong Zhao
Xiaohai Zhu
Hua Jiang