Procedure
New semicircular method (Fig. step three ) is basically a comparable techniques while the one revealed because of the Webster in the 1946 seven for gynecomastia. A sufficient amount of glandular tissue might be remaining in the situ under the NAC to get rid of a despair. This benefit of this technique is the smaller than average better-hidden scar that is confined so you can (the lower half) the fresh new nipple-areola state-of-the-art. The top downside is the small windows by which to focus, making excision off breast cells and you can hemostasis more complicated.
In the instances of less chest that have highest preferred hard nipples, this new transareolar technique (Fig. cuatro ) is employed. This is exactly much like the processes demonstrated by Pitanguy into the 1966 8 and you may allows for subtotal resection and instantaneous decrease in the new nipple. This new resulting mark traverses the fresh new areola horizontally and you can passes in the upper aspect of the breast.
Brand new concentric round strategy (Fig. 5 ) is much like one to discussed because of the Davidson into the 1979. (more…)