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Breast Reduction Guidance

  • Rebecca KnackstedtEmail author
  • Cagri Cakmakoglu
  • Graham S. Schwarz
  • Risal S. Djohan
Chapter
  • 14 Downloads

Abstract

A successful breast reduction requires ample postoperative blood supply to the nipple and remaining tissue. With numerous breast pedicles to choose from, each patient must be evaluated individually to determine the best operative plan. Sometimes these surgical decisions are not clear and vascular compromise in the perioperative period can often be difficult to assess. To that end, indocyanine green (ICG) can be utilized in planning, execution, and postoperative assessments to help guide clinical decision-making and ensure the safety, efficacy, and outcomes of this surgery.

Keywords

Breast reduction Pedicle Vascularity 

Supplementary material

Video 29.1

Patient example using ICG to assess vascularity during breast reduction (MP4 180270 kb)

References

  1. 1.
    Hall-Findlay EJ. Pedicles in vertical breast reduction and mastopexy. Clin Plast Surg. 2002;29(3):379–91. PubMed PMID: 12365638.CrossRefGoogle Scholar
  2. 2.
    van Deventer PV, Page BJ, Graewe FR. The safety of pedicles in breast reduction and mastopexy procedures. Aesthet Plast Surg. 2008;32(2):307–12. PubMed PMID: 18064510.CrossRefGoogle Scholar
  3. 3.
    Hall-Findlay EJ, Shestak KC. Breast reduction. Plast Reconstr Surg. 2015;136(4):531e–44e. PubMed PMID: 26397273.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rebecca Knackstedt
    • 1
    Email author
  • Cagri Cakmakoglu
    • 1
  • Graham S. Schwarz
    • 1
  • Risal S. Djohan
    • 1
  1. 1.Department of Plastic SurgeryCleveland ClinicClevelandUSA

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