Background: Vertical scar mammaplasty is a surgical
approach that successfully unites both theories of diminished
scar formation and an aesthetically appealing breast. However,
unfavorable results may follow, as decreased upper pole
fullness. Many techniques were proposed to overcome this
complication.
Aim: Proposal of usage of long lateral pillar flap to enhance
the aesthetics of the breast.
Patients and Methods: This study is a prospective clinical
observational study, that was performed at Ain-Shams University
Hospitals from December 2018 till June 2020, with an average
follow-up time of one year. Eighteen (18) female patients with
ptotic breast had reduction mammaplasty by superomedial
pedicle technique with usage of long lateral pillar flap to
reinforce suspension of superomedial pedicle. Standard photographs
were obtained pre and post operative. All participant
women had a routine pre and postoperative mammography
and Strasser's cosmetic satisfaction score were done.
Results: The age of the 18 women included in this study,
ranged from (25-50 years), with an average of (34±4.723).
Long-term results were satisfactory both objectively and
subjectively, with good upper pole fullness with enhancement
of the lateral breast crease.
Conclusion: The use of lateral pillar flap adds on satisfaction
in the breast's final outcome by enhancing the lateral
rounded contour and by addition of upper pole fullness.