A Novel Tension-Reducing Suture to Protect the T-junction after Reduction Mammaplasty

摘要

Descriptions of reduction mammaplasties can be seen as early as Paulus of Aegina (625 to 690 AD). The late nineteenth century saw emphasis placed on correcting ptosis of the breast. Schwarzmann (1937) first described the use of periareolar deepithelializa-tion to preserve the neurovascular supply of the nipple-areola complex. Technical elements of breast reduction mammaplasty continue to evolve. T-junction breakdown is a relatively common complication encountered following reduction mammaplasty. Several studies have shown significant wound dehiscence rates (most commonly at the T-junction), especially in those patients with a high body mass index. Dehiscence at the T-junction results in patient morbidity caused by the prolonged requirement for regular wound-dressing changes and ultimately poor resulting scar formation