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Awad MA
; Sherif MM
; Sadek EY
; Helal HA
; Hamid WR
Arch Plast Surg
2017[Mar]; 44
(2
): 101-108
PMID28352598
show ga
BACKGROUND: Understanding the female breast fascial system is of paramount
importance in breast surgery. Little was written about breast ligaments. Most
articles refer to Cooper's work without further anatomical studies. Lately, a
horizontal septum has been described conveying nerves and vessels to the nipple
areola complex. METHODS: During the surgical dissection of the lower part of the
breast, in supero-medial technique for breast reduction operations, a fascial
septum between the lower two quadrants was detected. This fibrous septum was
studied through anatomic dissection of breast tissues during routine breast
reshaping procedures that was done on 30 female patients. Magnetic resonance
imaging (MRI) was performed preoperatively in all cases and correlated with the
intraoperative findings. In the other five cases, outside the clinical study, the
imaging was done during routine investigation for breast swellings. RESULTS: A
vertical septum was identified in the lower part of the breast, lying at the
breast meridian between the two lower quadrants. It is a tough bi-laminated
structure that extends from the middle of the infra-mammary crease caudally to
nipple-areola complex cranially and from the pectoral fascia posteriorly to the
overlying skin anteriorly. This was proved by MRI findings. CONCLUSIONS: This
study describes a new inferior vertical septum which separates the lower half of
the breast into two definite anatomical compartments: medial and lateral.
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