{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:08:49Z","timestamp":1782979729062,"version":"3.54.5"},"reference-count":9,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,4]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Seat belt breast deformity can result in significant aesthetic, functional and psychosocial sequelae. Although seat belt breast deformity is well documented, there is a lack of literature describing their reconstructive management. We describe the surgical management of a 63-year-old woman presenting with stage 2b seat belt breast deformity, who underwent scar revision, repositioning of the nipple\u2013areola complex and contralateral breast reduction using Wise-pattern incisions based on superior pedicles. She made an excellent recovery with an improved aesthetic result.<\/jats:p>","DOI":"10.1136\/bcr-2021-243065","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T13:01:20Z","timestamp":1626872480000},"page":"e243065","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Seat belt breast injury: a reconstructive approach to managing unilateral bisected breast deformity"],"prefix":"10.1136","volume":"14","author":[{"given":"George","family":"Lafford","sequence":"first","affiliation":[{"name":"Plastic Surgery Department, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Mulgrew","sequence":"additional","affiliation":[{"name":"Plastic Surgery Department, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"K\u00f6hler","sequence":"additional","affiliation":[{"name":"Plastic Surgery Department, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Haywood","sequence":"additional","affiliation":[{"name":"Plastic Surgery Department, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK"},{"name":"Anatomy Department, University of East Anglia Norwich Medical School, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,21]]},"reference":[{"key":"2025082722394144000_14.7.e243065.1","unstructured":"World Health Organisation (WHO) . Road traffic injuries. Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/road-traffic-injuries [Accessed May 2021]."},{"key":"2025082722394144000_14.7.e243065.2","unstructured":"Department for transport, reported road casualties in Great Britain: 2019 annual report. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/922717\/reported-road-casualties-annual-report-2019.pdf [Accessed May 2021]."},{"key":"2025082722394144000_14.7.e243065.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(84)80010-8"},{"key":"2025082722394144000_14.7.e243065.4","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1002\/bjs.1800590622","article-title":"Subcutaneous rupture of the breast: a seat-belt injury","volume":"59","author":"Eastwood","year":"1972","journal-title":"Br J Surg"},{"key":"2025082722394144000_14.7.e243065.5","doi-asserted-by":"crossref","DOI":"10.1097\/GOX.0000000000002849","article-title":"Restoring the severed breast and chest following seat belt trauma","volume":"8","author":"Noel","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2025082722394144000_14.7.e243065.6","first-page":"99","article-title":"Shoulder restraint injury of the female breast","volume":"92","author":"Majeski","year":"2007","journal-title":"Int Surg"},{"key":"2025082722394144000_14.7.e243065.7","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.bjps.2014.12.005","article-title":"Systematic review of seat-belt trauma to the female breast: a new diagnosis and management classification","volume":"68","author":"Song","year":"2015","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2025082722394144000_14.7.e243065.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2009.05178.x"},{"key":"2025082722394144000_14.7.e243065.9","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/j.bjps.2014.01.024","article-title":"Seat belt injury causing bisection of the breast: a case report","volume":"67","author":"Teo","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:39:48Z","timestamp":1756359588000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243065"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":9,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,21]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-243065"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243065","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}