{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T13:02:34Z","timestamp":1762347754249,"version":"build-2065373602"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>An L-shaped scar in reduction mammoplasty is a scar pattern that has been gaining popularity among plastic surgeons because of the lower number of complications and improved aesthetic results. The main objective of this article was to describe a new technique of upper pedicle reduction mammoplasty with large tissue resections, always using an L-scar pattern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Elev\u00e9L technique was performed in 270 patients who underwent surgery between 2023 and 2025; follow-up examination was carried out for an average of 1 year. A patient satisfaction survey was conducted (BREAST-Q).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Two (0.8%) patients presented partial necrosis of the nipple\u2013areola complex, 0 patients had surgical infections, 3 patients had wound dehiscence, no patients presented hematoma, and 13 (4.8%) had widening of the areola. Alterations in the sensibility of the nipple\u2013areola complex occurred in 23 patients who had partially recovered sensibility (subjectively reported by the patients).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Compared with other reduction mammoplasty techniques, the Elev\u00e9L technique has shown lower complication rates, coupled with less scarring, making it a good technique for all plastic surgeons to routinely perform.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/gox.0000000000007168","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T13:00:35Z","timestamp":1762347635000},"page":"e7168","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Elev\u00e9L: Superior Pedicle Reduction Mammoplasty With L-shaped Scar"],"prefix":"10.1097","volume":"13","author":[{"given":"Sergio A.","family":"Arbel\u00e1ez","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery Bonadona Hospital, Clinica Reina Catalina, Clinica la Merced, Sura EPS, Salud Total EPS, Professor Universidad Sim\u00f3n Bol\u00edvar, Barranquilla, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Arbel\u00e1ez","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery Bonadona Hospital, Clinica Reina Catalina, Clinica la Merced, Sura EPS, Salud Total EPS, Professor Universidad Sim\u00f3n Bol\u00edvar, Barranquilla, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa C.","family":"Eslait","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery Bonadona Hospital, Clinica Reina Catalina, Clinica la Merced, Sura EPS, Salud Total EPS, Professor Universidad Sim\u00f3n Bol\u00edvar, Barranquilla, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos J.","family":"Lacouture","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Tarud","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Universidad Simon Bolivar, Barranquilla, Colombia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,11]]},"reference":[{"key":"R1-20251105","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/BF00450600","article-title":"Erich Lexer\u2019s mammaplasty.","volume":"16","author":"Hinderer","year":"1992","journal-title":"Aesthetic Plast Surg"},{"key":"R2-20251105","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/S0007-1226(60)80014-8","article-title":"Mammaplasty: report of a new technique based on the two-pedicle 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A prospective study of different techniques of reduction mammaplasty.","volume":"52","author":"Giovanoli","year":"1999","journal-title":"Br J Plast Surg"},{"key":"R36-20251105","doi-asserted-by":"crossref","first-page":"NP91","DOI":"10.1093\/asj\/sjac258","article-title":"Outcomes of extended pedicle technique vs free nipple graft reduction mammoplasty for patients with gigantomastia.","volume":"43","author":"Talwar","year":"2023","journal-title":"Aesthet Surg J"},{"key":"R37-20251105","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.cps.2015.12.012","article-title":"Managing necrosis of the nipple areolar complex following reduction mammaplasty and mastopexy.","volume":"43","author":"Handel","year":"2016","journal-title":"Clin Plast Surg"}],"container-title":["Plastic and Reconstructive Surgery - Global Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/GOX.0000000000007168","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T13:00:39Z","timestamp":1762347639000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/GOX.0000000000007168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":36,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/gox.0000000000007168","relation":{},"ISSN":["2169-7574"],"issn-type":[{"value":"2169-7574","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}