B-Technique with dermis suspension: A new approach toward reduction mammaplasty combining short-scar with durability of results.

Abstract

Dermis suspensions (DM) have been introduced in reduction mammaplasties (RM) to extend the durability of the results and improve the quality of the scar. The authors present a new method of RM that consists of completing the B-method of Regnault with a well-vascularized DM. Analyze the efficacy of a reduction mammaplasty technique proposed by the authors. The authors propose a comparison of two mamma reduction techniques based on a superior pedicle performed on 233 patients at the Medical University of Vienna, Department of Obstetrics and Gynecology, from 2010 to 2019. A total of 102 patients (Group A) were treated with a mammaplasty using Regnault's B-technique with a superior pedicle; 131 patients (Group B) were treated through a similar technique with additional support from an inferior-based deepithelialized pedicle for extra support. The assessment of patient satisfaction was performed by using the BREAST-Q for breast reduction; scar quality assessment was performed using a Patient and Observer Scar Assessment Scale (POSAS). Group A/Group B: 74/97 patients were operated bilaterally and 28/24 unilaterally. The amount of resected tissue ranged from 102-620 g to 30-810 g. Average BREAST-Q score for satisfaction with outcome was 82.3/86.1. POSAS was scored 35.2/37.6 to 23.2/24.4. Bottoming out after surgery was observed in 12 of 102 patients in Group A and 6 of 131 in Group B in the follow-up visits at 12, 18, and 36 months. The described technique proved to be fast, safe, and reliable, with a high level of patient satisfaction, less bottoming out, and better scar quality.