Page 340 - Read Online

Khan. Plast Aesthet Res 2018;5:45 I http://dx.doi.org/10.20517/2347-9264.2018.58 Page 11 of 14

Table 1. Showing age of the patients, implant size used and tissue removed in relevant groups
Type of procedure Number Range Mean Std deviation P value
Age in years PA 11 20-44 28.82 7.01 0.101
VSCT 29 20-66 35.17 12.37
WP 10 23-64 39.60 12.15
3
Implant size (cm ) PA 11 275-560 379.55 77.18 0.026
VSCT 29 240-800 289.48 109.00
WP 10 225-420 287.00 55.08
Tissue excised right side (g) VSCT 12 17-78 46.67 17.39 0.001
WP 4 77-227 138.50 63.44
Tissue excised left side (g) VSCT 12 28-106 56.0 23.84 0.001
WP 4 105-142 124.50 15.28
PA: periareolar; VSCT: vertical scar Cat’s tail; WP: Wise pattern

Table 2. Preoperative and postoperative nipple areolar complex and inframammary crease measurements in three groups
Type of Procedure Number Range Mean Std deviation P value
NAC-IMC Preoperative PA 10 4.5-11.0 7.15 1.98 0.001
VSCT 29 5.0-13.0 8.53 1.48
WP 9 9.0-13.0 10.11 1..24
NAC-IMC Postoperative PA 7 7.0-10.0 8.35 1.18 0.056
VSCT 23 6.5-12.0 9.72 1.51
WP 6 7.0-10.0 8.75 0.98
PA: periareolar; VSCT: vertical scar Cat’s tail; WP: Wise pattern

Table 3. Pre and postoperative Suprasternal notch to nipple areolar complex measurements in three groups
Type of procedure Number Range Mean Std deviation P value
Preoperative STN-NAC PA 11 19.5-26 22.45 2.06 0.001
VSCT 29 21.5-30.0 24.69 2.01
WP 10 23.0-32.0 27.27 2.70
Marked STN-NAC PA 10 19.5-22.5 20.95 1.01 0.003
VSCT 29 18.5-23.5 21.00 1,25
WP 10 19.5-31.0 23.30 3.22
Postoperative STN-NAC PA 6 22-24 22.23 0.60 0.063
VSCT 19 19-24 20.76 1.40
WP 6 19-25 21.92 2.33
STN; suprasternal notch; NAC: nipple areolar complex; PA: periareolar; VSCT: vertical scar Cat’s tail; WP: Wise pattern

allowed the postoperative measurement and dimensions in all three subsets to be similar and comparable
without any statistical significance [Tables 1-3]. In restoring and achieving such proportions, parameters
and desired aesthetic results are achieved when the two components of single stage procedure were
performed independently to each other in the same setting. Augmentation mammoplasty is performed first
independent of the mastopexy and once accomplished, the access is closed and then operation proceeds
to mastopexy at the same time as the second half of the procedure. The independence of each procedure,
performed separately at the same time, helps to maintain the integrity of each and without disturbing
the other and allowing the surgeon to have a control on each of the procedure’s components. When the
procedure is performed in layers, as described in the technique section, the process allows maximising
safety of the procedure and aimes to retain the physiological functions of the breasts at the same time.
Medially based NAC flap has an enhanced blood supply due to its broader link to surrounding tissues as it
is not entirely based on length and breadth ratios, similarly venous and lymphatic drainage is assisted due
to pedicle’s wider connections. Retention of the sensory potential of the NAC is more predictable and in
childbearing age females, lactation potential of the breast for future pregnancies is sufficiently preserved.