By Professor Ivo Pitanguy M.D., F.B.C.S., F.A.C.S., F.I.C.S. (auth.)
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Extra resources for Aesthetic Plastic Surgery of Head and Body
The Pitanguy technique was used for correction, 625 g being excised from the right breast and 675 g from the left breast. Left: before operation ; right: 8 months after operation. Case 5. 19-year-old patient with moderate breast hypertrophy and ptosis who suffered from premenstrual mammary pain. The deformity was corrected by the Pitanguy technique. Left: before operation; right : 14 years after operation. 24 Breast Case 6. Middle-aged woman with moderate mammary hypertrophy prior to the operation.
Using scissors and the tip of the finger the divided breast is separated from the underlying pectoral fascia by blunt dissection in a medial and lateral direction. Bleeding points are electrocoagulated or ligated with 4-0 chromic catgut. The dissection is carried laterally up into the axilla, medially to the costosternal junction and superiorly towards the clavicle (Fig. 65). At the end of this stage the halves of the gland are retracted from the underlying pectoral fascia and haemostasis is secured.
Rev Bras Cir 5: 263 33. Pitanguy I (1967) Surgical treatment of breast hypertrophy. Br J Plast Surg 20:78 34. Pitanguy I (1967) Hipertrofia mamaria. Trib Med (Brazil) 331 : 33 35. Pitanguy I (1969) Hipertrofias mamarias. Cuad Hosp Clin (Bolivia) 14 36. Pitanguy I (1971) Mamaplastias. Estudo comparativo da evolu<;ao teen ica em torno de 1196 casos pessoais. Rev Bras Cir 61 : 227 37. Pitanguy I (1976) Personal preferences for reduction mammaplasty. In: Goldwyn RM (ed) Plastic and reconstructive surgery of the breast.
Aesthetic Plastic Surgery of Head and Body by Professor Ivo Pitanguy M.D., F.B.C.S., F.A.C.S., F.I.C.S. (auth.)