<< Back to the abstract archive
Autologous Dermo-parenchymal Sling Technique for Sustained Outcomes in Breast Reduction: A Case Series
Steffi Sharma, MD; Dean Spyres, MS; Christina Scarr, MD; Anuja Sarode, PhD; Moheb Said, MD
Summa Health
2025-01-09
Presenter: Steffi Sharma, MD
Affidavit:
I agree and support the work that Steffi Sharma is submitting.
Director Name: Ananth Murthy
Author Category: Fellow Plastic Surgery
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Objective:
To address long term recurrent ptosis and pseudoptosis with superomedial pedicle vertical excision breast reduction, we introduce a novel modification that incorporates an autologous dermo-parenchymal sling constructed from the inferior pole of the breast that may increase the longevity of long-term aesthetic results.
Methods:
Descriptive statistics are provided on patients who underwent the superomedial breast reduction with vertical excision using the autologous dermo-parenchymal sling. Patient data included demographics, tissue resection volume, and pre- and post-operative breast measurements, complications, post-operative Semmes–Weinstein monofilament testing to determine nipple sensation (NS) and BREAST-Q survey.
Results:
The autologous dermo-parenchymal sling was used in 5 patients (10 breasts). Patients had a mean age of 47 years and BMI of 34. The mean follow-up was 374 days. The mean breast resection volume was 369 g. Preoperative sternal notch to nipple distance averaged 32.6 cm while nipple to infra-mammary distance averaged 14.35 cm, decreasing postoperatively to 26.25 cm (19.5%) and 12.25 cm (14.6%), respectively. There were no major complications. Overall, NS was retained in 70% of breasts. Average BREAST- Q scores were: Psychosocial 82.2, Sexual 67.8, Physical 33.6, Satisfaction with Breasts 81.8, Satisfaction with Nipples 18.8/20, Satisfaction with Outcomes 84.0.
Conclusion:
This case series presents the application of an autologous dermo-parenchymal sling in superomedial pedicle vertical excision breast reduction, demonstrating its feasibility and potential for enhancing aesthetic outcomes and structural support. Further investigation is needed to fully evaluate its impact and comparative advantages.
