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Results: From 1999 to 2002 we applied this method on 20 women (range of age: 24a-64a, median 36a). Elevation of the nipple ranged from 4cm to 16cm (median: 8,5cm), weight of removed breast tissue ranged from 180g to 840g (median: 410 g). In all cases the blood supply of the nipple-areola complex remained excellent. Follow up ranged from 12 to 36 months. 1 patient had to be revised due to asymmetry. Patient’s satisfaction was overall good.

Discussion: It is our opinion that this technique is easy to learn, nearly as fast as the B-technique, equally bloodless but more durable. It avoids the well known, even though not frequently occurring problem of the areole’s blood supply encountered with the methods using a central pedicle.

Conclusion: We can recommend this new method as a simple and safe technique to perform reduction mammoplasties.

My experience with the use of sutures
in forming and stabilizing the nasal cartilage
in aesthetic rhinoplasty

Introduction: The use of sutures to modify the cartilaginous skeleton of the nose in aesthetic rhinoplasties become frequent in the last decade only. In the University Clinic of Vienna, Austria not a single rhinoplasty was performed which sutures to modify the nasal cartilage during my residency (1985-1991). Aiach, Guyuron, Tardy and Tebbeth (alphabetic order) are probably the best known pioneers in modelling the tip of the nose with sutures. The use of grafts, struts, and sutures widened the spectrum of correction and achieved better and longer lasting results in aesthetic rhinoplasties. In this descriptive retrospective study we want to present our experience with these techniques and to show and discuss some selected cases.

Methods: 112 patients (82 females, 30 males, range of age: 18a – 64a, median 38a) who underwent rhinoplasties during January 1995 and December 1997 were enrolled in this retrospective study. In all patients sutures were used to correct, form or stabilize the cartilaginous skeleton of the nose. 52 patients (group A) requested aesthetic changes alone, 60 patients (group B) performed surgery for other reasons (posttraumatic deformities, septal deviations etc.), but interventions were completed with aesthetic operations. In group A the hump was the primary indication for surgery, (n=32, 61%), in 14 cases (27 %) it was the tip of the nose, 6 patients (11%) had miscellaneous reasons. In group B, septal deviation was present in 71 % (n=17), a deviated back of the nose in 32 % (n= 19), deformities of the tip in 42% (n=25) and a hump in 66 % (n= 40). Photos were taken from all patients before and after surgery, with follow ups varying from 1 one to 4 years. In 92 patients, intraoperative photos were made as well.

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