Eur J Plast Surg (2015) 38:515–516 DOI 10.1007/s00238-015-1106-1 LETTER TO THE EDITOR A simple trick to facilitate the Schwartzman’s maneuver in reduction mammaplasty 1 1 1 1 Lee Seng Khoo & Francesco Mazzarone & Henrique N. Radwanski & Ivo Pitanguy Received: 20 April 2015 /Accepted: 4 May 2015 /Published online: 12 May 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, vide good hydrodissection between the dermis and epi- The Schwartzman’s maneuver first described in 1937 dermis. The tumescent fluid should provide good turgor remains an important step in reduction mammaplasties and give a peau de orange appearance to effectively and some oncoplastic techniques in breast surgery that Blift^ the epidermis off the underlying dermis. Depending on the size of the breast, up to 30 cc of are based on dermal or dermoglandular pedicles . Deepithelialization theoretically improves the survivabil- tumescent fluid may be infiltrated per breast for this ity of the nipple areola complex as the blood supply is purpose. In this case, we mark the area to be derived largely from the subdermal plexus and retained deepithelialized according to the Pitanguy breast reduc- parenchymal vessels . tion technique [2, 3] which is the mainstay technique of Deepithelialization is routinely done
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2015
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