Journal
CLINICS IN PLASTIC SURGERY
Volume 43, Issue 2, Pages 323-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cps.2015.12.007
Keywords
Breast reduction; Complications; Preoperative assessment; Scar; Nipple areola complex (NAC) malposition; Delayed wound healing; Skin loss; Asymmetry
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Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to co-morbidities. Shape, symmetry, contours, scar location, skin quality, nipple-areolar complex (NAC) shape, NAC position relative to inframammary fold, and NAC position relative to the volume of the breast should be evaluated. Because complications cannot always be anticipated, informed consent is a vital part of managing expectations. lntraoperative considerations include blood pressure control, limiting tension, delayed healing and tissue loss, and using applied anatomy to avoid malposition and asymmetry.
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