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these markings for mastopexy may not be able to give   remodeling and autologous breast volume conservation in
          adequate fullness or projection with a risk of bottoming   patients requesting  for explantation and presenting  with
          down of the breast,  especially  when these  patients   breast ptosis.
          presents with significant ptosis of breasts, excessive
          jugular notch to NAC or nipple to inframammary      REFERENCES
          crease measurements.  In recently described Four
                              [7]
          Flaps augmentation mastopexy, limited use of the    1.   Khan UD. Combining muscle splitting biplane with multilayer capsuloraphy
          width of the transverse inferior dermoglandular flap is   for the correction of bottoming down following subglandular augmentation.
          recommended to avoid boxy appearance.  In current       Eur J Plast Surg 2010;33:259‑69.
                                               [5]
          case report, author has made use of the full transverse   2.   The American Society for Aesthetic Plastic Surgery. Cosmetic Surgery
                                                                  National Data Bank Statistics; 2012. Available from: http://www.surgery.org/
          width for the de‑epithelialized flap in order to maximize   sites/default?files/2012stats.pdf. [Last accessed on 2014 Sep 10].
          the autologous volume  conservation as well as better   3.   Bostwick J. Prophylactic (risk‑reducing) mastectomy and reconstruction.
          breast projection and without any compromise to the     Plastic and Reconstructive Breast Surgery. Vol. II. St. Louis: Quality Medical
          aesthetic outcome. Ladizinsky et al.  have modified the   4.   Publishing; 1990. p. 1369‑73.
                                         [8]
                                                                  King  IC, Harvey  JR, Bhaskar  P.  One‑stage  breast  reconstruction  using
          bostwick flap in their article suggesting full thickness   the inferior dermal flap, implant, and free nipple graft. Aesthetic Plast Surg
          incision in the medial and lateral inferior borders of   2014;38:358‑64.
          the autoderm flap to optimize the implant coverage,   5.   Forcada EM, Fernández MC, Aso JV, Iglesias IP. Augmentation mastopexy:
          limiting the medial and lateral transverse incisions    maximal reduction and stable implant coverage using four flaps. Aesthetic
                                                                  Plast Surg 2014;38:711‑7.
          and making vertical component short and narrow to   6.   Coleman SR, Saboeiro AP. Fat grafting to the breast revisited: safety and
          minimize vascular compromise to breast envelope         efficacy. Plast Reconstr Surg 2007;119:775‑85.
          following  subcutaneous  mastectomy. No  such  measures   7.   Khan UD. Aesthetic surgery of the breast. In: Mugea TT, Shiffman MA, editor. Use

          are required in the use of inferior dermoglandular flap   of nipple‑areolar to inframammary crease mesurments to reduce bottoming
          for autologous breast remodeling following explantation.   8.   out following augmentation mastopexy. Berlin: Springer; 2015. p. 649‑56.
                                                                  Ladizinsky  DA, Sandholm  PH, Jewett  ST, Shahzad  F, Khalil A. Breast
          The  current  case  report  is  a  useful  technique  that  is   reconstruction with Botswick autoderm technique.  Plast Reconstr Surg
          aimed to conserve maximum possible autologous breast    2013;132:261‑70.
          tissue  and  to minimize  the physical  and psychological   How to cite this article: Khan UD. Inferior dermoglandular flap
          morbidity associated following explantation in these   for autologous breast remodeling following explantation of breast
          patients.                                            implants in ptotic breasts: a case report and literature search. Plast
                                                               Aesthet Res 2015;2:81-4.
          In conclusion, wise pattern markings with a medially
          based NAC flap for mastopexy and its  combination  with   Source of Support: Nil, Conflict of Interest: None declared.
          inferior  dermoglandular flap is  a  good option for breast   Received: 11-11-2014; Accepted: 22-12-2014












































            84                                                           Plast Aesthet Res || Vol 2 || Issue 2 || Mar 13, 2015
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