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45. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 19. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC), 52. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC)

11.09. - 13.09.2014, München

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In vivo changes in nipple-areolar complex perfusion after breast augmentation with implants

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  • presenting/speaker P. Niclas Broer - Klinikum Bogenhausen, Plastische Chirurgie, München, Deutschland; Yale University, Plastic Surgery, New Haven, Vereinigte Staaten Von Amerika
  • Edward Teng - New Haven, Vereinigte Staaten von Amerika
  • Katie Weichman - Memorial Sloan Kettering Cancer Center, Plastic Surgery, New York City, Deutschland
  • Sebastian Voigt - Klinikum Bogenhausen, Plastische Chirurgie, München, Deutschland
  • Antonio Forte - New Haven, Vereinigte Staaten von Amerika
  • Stephanie Kwei - Yale University, Plastic Surgery, New Haven, Vereinigte Staaten von Amerika

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. Österreichische Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie. 45. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 19. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC), 52. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPRÄC). München, 11.-13.09.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc30

doi: 10.3205/14dgpraec243, urn:nbn:de:0183-14dgpraec2434

Published: September 3, 2014

© 2014 Broer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Goals/Purpose: The purpose of this study is to examine in vivo changes in blood supply to the NAC after implant breast augmentation surgery using MRI technology.

Method: Using high-resolution MRI images obtained with a 3T magnet, bilateral breast images of 10 women with previous breast augmentation were compared to a control population of 15 women. In total, 20 implanted breasts (12 subglandar and 8 submuscular) were compared to 30 control breasts. Several aspects of the medial and lateral blood supplies to the breast were documented: diameter of the originating blood vessel at the level of the chest wall, distance between the nipple and most distally visualized aspect of the medial and lateral blood supply, and dominance of the medial versus lateral blood supply.

Results: In the control population, the mean calibers of the medial blood supply decreased by 10% from 2.3 mm to 2.1 mm (p=0.538) versus a 21% increase on the lateral supply from 1.8 mm to 2.2mm (p=0.102). The distances between the nipple and the medial and lateral vessels both increased by 48% for the medial supply, from 21.6 mm to 32 mm (p=0.002), and the lateral supply increased by 45% from 25.8 mm to 37.1 mm (p=0.057).

Conclusion: Our results indicate that the medial supply was appreciably less dominant in our implant population compared to our control population. While both supplies were diminished to the NAC, the lateral supply increased in caliber at the level of the chest wall, suggesting an augmentation in lateral flow similar to a delay phenomenon.