Reduction Mammaplasty by the Inferior Dermal Flap (Modified Mckissock Method)

Inferior Dermal Flap (modified Mckissock 법)을 이용한 유방축소술

The goal of reduction mammaplasty is a breast with natural contour and volume, aesthetically situated scars, and a well-placed, sensate nipple and areola. The most successful techniques achieve this through the excision of tissue from the lower part of the breast based on some variation. However, the Mckissock's vertical bipedicle technique is the popular method for reduction mammaplasty. As an alternative modified Mckissock's method, we have found the use of only an inferior dermal flap with a keyhole pattern to be a simple and safe method for obtaining satisfactory aesthetic results. We have used inferior dermal flap for 4 patients recently and obtained the advantages as below compare to the Mckissock's method. 1. Rich blood supply to the broad based inferior flap. 2. More easy transposition of the nipple and areola. 3. More good operation field for resection of breast tissue. 4. Short operation time. 5. Can applied to the gigantomastia.

본(本) 교실(敎室)에서는 유방축소술시 흔히 사용되는 vertical bipedicle dermal flap인 Mckissock법(法)을 변형시켜, inferior dermal flap 만을 이용(利用)하여 유방축소술을 시행하여 그 술기 및 결과를 비교한 결과 inferior dermal flap 법(法)이 Mckissock법(法)보다 경피에 풍부한 혈액이 공급되고, 수술시간이 단축되며, 유두 및 유륜부의 이동이 용이하며 초거대유방에서도 적용이 가능하다는 장점을 얻었다.