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GÜNEREN, ETHEM

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ETHEM
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GÜNEREN
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Author: GÜNEREN, Ethem × Author: Firinciogullari, Remzi ×

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    Simplifying Free Nipple Graft Mammoplasty in Postmenopausal Obese Patients using Inferior Dermaglandular Flap
    (2021-06-01T00:00:00Z) Kelahmetoglu, Osman; ÇAMLI, MEHMET FATİH; ÜNAL, Mustafa; Yagmur, Caglayan; Firinciogullari, Remzi; GÜNEREN, Ethem; ÇAMLI, MEHMET FATİH; ÜNAL, MUSTAFA; GÜNEREN, ETHEM
    Breast hypertrophy causes medical problems ranging from back and neck pain to dermatitis creating a demand for breast reduction surgery along with aesthetic and psychological reasons. Free-nipple-graft breast reduction surgery is a safeguard procedure for patients who are at risk for nipple necrosis with pedicled techniques but has a disadvantage of resultant flat breasts with poor projection. Study included twenty-three postmenopausal women who underwent breast reduction with inferior pedicled dermaglandular flap and free-nipple-grafting, between September 2015 and January 2020. A rectangular 8 x 10 cm inferior-pedicled dermaglandular flap was dissected and anchored to the thoracic wall for better projection and upper pole fullness. All patients had at least one comorbidity. Visual analog scale was evaluated at 1-3 months. Mean age of the patients was 54.08 SD 4.65 years, and mean body mass index (BMI) was 33.56 SD 2.53. Mean follow-up period was 10.56 SD 5.6 months. Mean SN-N distance was 37.45 SD 3.77 and 38.86 SD 3.91 cm for right and left breasts, respectively. Mean resection weight was 1373 SD 440 g. Wound dehiscence was seen in 3 patients (13.0%) and treated medically. No other complications, including total nipple areolar complex (NAC) loss, were seen. Mean visual analog scale score for patient satisfaction was 7.7. All patients were satisfied with their final breast shapes. Utilizing inferior dermaglandular pedicled flap technique with free-nipple-graft breast reduction mammaplasty provides better nipple projection and a more aesthetically pleasing breast shape and contour. It helps achieve an effortless preoperative planning and a straightforward procedure with high patient satisfaction in postmenopausal obese women.
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    Menopause Does Not Reduce Hematoma Risk After Reduction Mammoplasty Surgery: A Retrospective Analysis
    (2020-10-01T00:00:00Z) Kelahmetoglu, Osman; Yagmur, Caglayan; Firinciogullari, Remzi; Akman, Onur; GÜNEREN, Ethem; KELAHMETOĞLU, OSMAN; AKMAN, ONUR; GÜNEREN, ETHEM
    Objective: Hematoma is one of the early complications of breast reduction surgery. According to our literature review, this concomitance was not discussed in detail. The aim of this study is to show the relationship of postoperative hematoma with menopausal status in reduction mammoplasty patients. Methods: This study included 153 patients who underwent breast reduction surgery from 2014 to 2018, and had no comorbid disease and were questioned for menopause retrospectively. The patients were divided into two groups: Group 1 comprised premenopausal women, and Group 2 comprised postmenopausal women. Results: The mean age of the patients in Group 1 and Group 2 was 33.26 +/- 7.58 years and 52.96 +/- 4.34 years, respectively (p=0.00). The mean of total resected tissue weights in Groups 1 and 2 were 2.104 +/- 1.201 grammes and 2.492 +/- 1.098 grammes, respectively (p=0.119). Hematomas were seen in six (4.8%) patients in Group 1, and no hematoma was seen in Group 2 (p=0.593). Conclusion: Our findings showed that menopause does not reduce the risk for hematoma, but we recommend further clinical studies.