Journal of Clinical & Experimental Dermatology Research
Open Access
ISSN: 2155-9554
+44 1478 350008
ISSN: 2155-9554
+44 1478 350008
Afschin Ghofrani
Aestheticon?®, UAE
Scientific Tracks Abstracts: J Clin Exp Dermatol Res
Introduction: There is possibly no other surgical technique in plastic surgery that has been modified more often than the mammaplasty. Numerous publications have focused on this issue. Regarding the visible scars there are mainly three approaches 1) Periareolar scar, 2) I-scar, and 3) T-scar. Another variable is the pedicle. Since 1996 we use a central pedicle combined with a T-scar with short sub mammary part for most of the cases. Methods: The â??inferior pedicle techniqueâ? was modified by Dr. Serdar Erenin in 1990. This modified approach is described by a detaching of the inferior part of the pedicle leaving only the central pectoral fascia attached. The blood supply is guaranteed by the intercostal perforators. The main sensory branch to the areola is routinely preserved thus maintaining a sensitive nipple in most cases. Because no dissection from the Nipple-Areola-Complex (NAC) from the gland is necessary, breast feeding after surgery is usually preserved. This pedicle gives a maximum degree of freedom regarding resection and positioning of the gland. Especially the hypertrophic lateral gland parts can be resected extensively down to the pectoral fascia. Results/ Discussion: We overlook more than 1000 mammoplasties performed with this pedicle-technique in the recent 20 years. This technique is not recommended for an inexperienced surgeon due to potential pitfalls in the preparation of the gland. Provided sufficient familiarization with the procedure, however, this technique can be regarded as a safe method for almost all type of breast with excellent results in terms of shape and projection. Generally, breast feeding property and sensation of the NAC are preserved.
Afschin Ghofrani is currently a Medical Director and owner of Aestheticon (May 2012). He obtained graduation in Human Medicine from the RWTH Aachen in Germany. During 1992-1997, he completed his Doctoral thesis. From 1997 to 2002 he worked as an Assistant Medical Director and consultant representative at hospitals in Cologne and Dortmund in departments of Plastic Surgery and Hand Surgery. In 1998 he received the certificate ‘Specialist of Plastic Surgery’ from the medical chamber in Nordrhein- Westfalen/ Germany and in 2001 the additional certificate ‘Specialist of Hand Surgery’. Furthermore, he is a trained and certified emergency doctor with many years of experience in intensive care medicine. From January 2003 until August 2010, he has been the Head Physician at the Evangelische Hospital Giessen/ Germany and additionally the Medical Director of his private practice of Plastic/Aesthetic Surgery and Hand Surgery. During this period he focused besides his other specializations mainly on aesthetic surgery of face and body. In September 2010, he moved to Dubai to establish his concept of a plastic and aesthetic surgery center. Regarding his scientific career, he was the initiator and leader of various research projects and has published diverse articles in national and international journals and books.
Email: dr_afschin@aestheticon.ae