Background: When performing breast reduction surgery,
it is very important to preserve the vascularity of tissues,
especially of the nipple-areolar complex (NAC). Preoperative
ultrasonographic color Doppler imaging is used for determination
of major supplier vessels of the nipple-areola complex.
Pedicles containing these vessels were designed for reduction
mammaplasty.
Patient and Methods: The study was done at Al-Azhar
University Hospitals from April 2014 and April 2016 including
24 cases (48 breasts) with bilateral macromastia and age group < br />20-48 years with follow-up period 6 month. Group (A) 12
cases submitted for breast reduction using preoperative ultrasonographic
color Doppler imaging for pedicle determination,
group (B) 12 cases submitted for breast reduction via inferior
pedicle technique.
Result: The selected cases were operated according their
group.
In Group A: 12 cases after preoperative Doppler ultrasonography
for each breast, the pedicle determined was; six
cases with inferior pedicle design, four cases with superomedial
pedicle design, and two cases with superior pedicle design,
none of the patients had areola necrosis.
In Group B: All cases underwent reduction mammoplasty
using inferior pedicle technique, none of the patients had
areola necrosis.
Conclusion: Preoperative ultrasonographic color Doppler
imaging for evaluation of the main nipple-areola complex
vascular supply has certain advantages. Therefore, we strongly
advise using this modality for evaluation of the main nippleareola
complex vascular supply that specify which type
reduction mammaplasty techniques for every patient.