Reduction mammaplasty has become an accepted surgical procedure in North American society. The purpose of this study was to determine the method used by Canadian plastic surgeons to perform this procedure. A survey was sent out to all members of the Canadian Society of Plastic Surgeons in the spring 1993 mailing which questioned them on various aspects of their technique. Response rate was 45% and surgeons did on average 4.6 reduction mammaplasties per month which were covered by provincial health insurance in 96% of cases. The most popular method overall was an inferior pedicle technique, used by 65% of surgeons. Most surgeons altered their procedure in special clinical situations such as small or very large reductions, ptotic breasts, tubular breasts, or second procedures.
CartottoRCLevineR.KnowltonR.FieldingC.. Reduction mammaplasty: To drain or not to drain? 46th Annual Meeting of the Canadian Society of Plastic Surgeons May 27-30 1992, London, Ontario, p 29.
2.
ClugstonPAFitzpatrickDGKesterDAFolayB.GermannE.. Autologous blood use in reduction mammaplasty: is it justified?Plast Reconstr Surg1995; 95: 824–8.
3.
KerriganC.. Results of the survey of CSPS members.CSPS News1994; 5(1&2):1, 5.
4.
ThorekM.. Possibilities in the reconstruction of the human form.NY Med J1922; 58: 572.
5.
RobbinsTH. A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle.Plast Reconstr Surg1977; 59: 64–7.
6.
RobertsonDC. The technique of inferior flap mammaplasty.Plast Reconstr Surg1967; 40: 372–7.
7.
CramerLMChongJK. Unipedicle cutaneous flap: areola-nipple transposition on an end-bearing superiorly based flap. In: GeorgiadeNG ed. Reconstructive Breast Surgery.St Louis: CV Mosby Co,1976; 143.
8.
BiesenbergerH.. Eine neue methode der mammaplastik.Zentralbl Chir1928; 55: 2382.
9.
RegnaultP.. Breast reduction: B technique.Plast Reconstr Surg1980; 65: 840–5.
10.
PitanguyI.. Surgical correction of breast hypertrophy.Br J Plast Surg1967; 20: 78.
11.
SkoogTA. A technique of breast reduction.Acta Chir Scand1963; 126: 453.
12.
McKissockPK. Reduction mammaplasty with a vertical dermal flap.Plast Reconstr Surg1972; 49: 245–52.
13.
McKissockPK. Color atlas of mammaplasty.New York: Thieme Medical Publishers Inc, 1991.
14.
BornG.. The ‘L’ reduction mammaplasty.Ann Plast Surg1994; 32: 383–7.
15.
GeorgiadeNGSerafinD.RiefkohlR.GeorgiadeGS. Is there a reduction mammaplasty for ‘all seasons’?Plast Reconstr Surg1979; 63: 765–73.
16.
McKissockPK. Reduction mammaplasty by the vertical bipedicle flap technique: rationale and results.Clin Plast Surg1976; 3: 309–20.
17.
KurtayM.. Standardization in reduction mammaplasty: a comparison of techniques.Plast Reconstr Surg1993; 92: 960–7.
HughesLAMahoneyJL. Patient satisfaction with reduction mammaplasty: an early survey.Aesthetic Plast Surg1993; 17: 345–9.
20.
CourtissEHGoldwynRM. Reduction mammaplasty by the inferior pedicle technique: an alternative to free nipple and areolar grafting for some macromastia or extreme ptosis.Plast Reconstr Surg1977; 59: 500.
21.
SandsmarkM.AmlandPFAbyholmF.TraaholtL.. Reduction mammaplasty; a comparative study of the Orlando and Robbins methods in 292 patients.Scand J Plast Reconstr Surg Hand Surg1992; 26: 203–9.
22.
Bostwick,J.III. Aesthetic and reconstructive breast surgery.St Louis: CV Mosby Co, 1983.
23.
FreibergA.CarrMM. Reduction mammaplasty: position of the nipple-areolar complex after long-term follow-up.Can J Plast Surg1994; 2: 117–20.
24.
LettermanG.SchurterM.. A history of reduction mammaplasty. In: GeorgiadeNGGeorgiadeGSRiefkohlR.. Aesthetic Surgery of the Breast.Philadelphia: WB Saunders, 1990; 161–9.
25.
StrombeckJO. Mammaplasty: report of a new technique based on the two pedicle procedure.Br J Plast Surg1960; 13: 79.
26.
ReesTDAstonS.. The tuberous breast.Clin Plast Surg1976; 3: 339.
27.
BiggsTMHumphreysDH. Augmentation mammaplasty.Grabb and Smith's Plastic Surgery, 4th edn.Boston: Little, Brown and Co, 1991; 1145–56.
