Introduction: Visible scarring over the breast mound is
a disadvantage of the classic inverted-T breast reduction
technique. The transverse scar breast reduction (TSBR) technique
with suspended dermal slings limits the scar formation
to the hidden inframammary crease.
Patients and Methods: Sixteen female were included in
this study. We used the TSBR technique with suspended
dermal slings for correction of severe breast enlargement and
breast ptosis. Early postoperative complications were recorded.
After 2 years, patients' satisfaction about the surgery was
analyzed.
Results: All cases showed complete wound healing within
two weeks except one case who showed partial ischemia of
the nipple areola complex, which was managed successfully
by dressing changes. Regarding late complications, two cases
showed fat necrosis. However, overall patients' satisfaction
was high.
Discussion: Many surgeons use the technique of wise
pattern inferior pedicle breast reduction for correction of huge
breasts with severe ptosis. Vertical scar breast reduction
technique is not best indicated for correction of such condition.
Transverse scar breast reduction limited the scars of the
surgery to the hidden inframammary fold and achieved stable
and accepted results.
Conclusion: Transverse scar breast reduction with suspended
dermal slings corrected huge breast enlargement and
sever breast ptosis with a concealed scar restricted to the
inframammary crease. Patients' satisfaction about the outcome
of surgery was high after 2 years of follow-up.