Principle and Logic of Vertical Reduction Repair Double-Ring Breast Reduction.

[BACKGROUND] Secondary reduction mammaplasty poses challenges.

[OBJECTIVES] This article delves into the reasons and complaints regarding secondary repair following double-ring method and outlines the principle and logic of utilizing vertical incision for repair.

[METHODS] A retrospective analysis of patients who underwent secondary reduction mammaplasty in our hospital was conducted. The analysis included baseline demographic data, reasons for consultation, surgical records, and postoperative outcomes.

[RESULTS] Thirty-five patients (70 breasts) underwent secondary reduction mammaplasty. The mean time between the primary reduction mammaplasty and second procedure was 2.99 years (range, 0.5-15years). The mean weights were 210.49g (range, 42-558g) and 207.91g (range, 6-560g) for left and right mastectomies, respectively. Reasons for secondary reduction mammaplasty include poor shape (flat breasts and pseudoptosis), widened incision scar, persistent macromastia, and bilateral asymmetry.

[CONCLUSIONS] The superior and superomedial vertical techniques are safe, effective, and satisfactory in secondary reduction mammaplasty.

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