Abstract
Introduction
Due to its minimally invasive and highly precise nature, the mammotome, a vacuum-assisted breast biopsy device, has proven effective for the treatment of benign breast lesions. Taking advantage of both liposuction and the mammotome, we utilized the mammotome device for the excision of accessory breasts.
Methods
Between July 2010 and June 2014, 16 patients with accessory breasts received mammotome-assisted liposuction. After adipose was removed using this procedure, the mammotome system was used to excise the fibro-glandular tissue in accessory breasts under ultrasound monitoring.
Results
All patients were satisfied with their appearance after surgery. A single 5-mm incision, which was well hidden in the axillary skin folds and allowed for restoration, provided an aesthetically pleasing contour to the axilla.
Conclusions
Mammotome-assisted liposuction is a new approach that can be used to excise both adipose and fibro-glandular breast tissue simultaneously with a minimal incision, and provides a favorable contour to the axilla.
Level of Evidence IV
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References
Down S, Barr L, Baildam AD et al (2003) Management of accessory breast tissue in the axilla. Br J Surg 90:1213–1214
Lesavoy MA, Gomez-Garcia A, Nejdl R et al (1995) Axillary breast tissue: clinical presentation and surgical treatment. Ann Plast Surg 35:356–360
Emsen IM (2006) Treatment with ultrasound-assisted liposuction of accessory axillary breast tissues. Aesthetic Plast Surg 30:251–252
Fan J (2009) Removal of accessory breasts: a novel tumescent liposuction approach. Aesthetic Plast Surg 33:809–813
Bartsich SA, Ofodile FA (2011) Accessory breast tissue in the axilla: classification and treatment. Plast Reconstr Surg 128:35–36
Maxwell AJ (2009) Ultrasound-guided vacuum-assisted excision of breast papillomas: review of 6-years experience. Clin Radiol 64:801–806
Therasse P, Arbuck SG, Eisenhauer EA et al (2000) New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer, National Cancer Institute of the United States, National Cancer Institute of Canada. J Natl Cancer Inst 92:205–216
Jeremy SM, Jack CS, Vincent YK (2012) The use of microdebrider for the treatment of accessory axillary breast. J Plast Reconstr Aesthet Surg 65:301–304
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The authors declare that they have no conflicts of interest to disclose.
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Tang, X. Mammotome-Assisted Liposuction: A Novel Technique for Accessory Breasts. Aesth Plast Surg 41, 517–523 (2017). https://doi.org/10.1007/s00266-016-0775-x
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DOI: https://doi.org/10.1007/s00266-016-0775-x