CASE STUDY: VERTICAL BREAST REDUCTION
ABSTRACT: This study was done to determine if silicone gel sheeting would affect the healing of a scar after a vertical reduction mammoplasty. The patient has functioned as her own control, with the treatment of one side and the opposite side functioning as an untreated control. Early results demonstrate improvement in scar appearance, texture,and contour with improved patient satisfaction.PROTOCOL: This study was done as a pilot study to qualitatively determine if the application of siliconegel sheeting using the Newmedical Technology product can affect scar appearance after vertical reduction mammoplasty. The 20-year-old patient was randomly selected as an average mammoplasty patient withno significant medical problems, as a non-smoker, and no contraindications to the use of silicone gel withno previous sensitivity documented. Scars are simply evaluated qualitatively for visual difference, colour change, surrounding skin changes, and clinically evaluated for texture. Informed consent was obtainedfrom the patient prior to participating in the study.PROCEDURE: NewGel+ silicone gel sheeting was provided to the patient for treatmentof the left side only. No treatment was given for the right side. Treatment side was randomly chosen post-operatively. The silicone sheeting was worn for most of the day and replaced after 7 to 10 days. Silicone gel sheeting has had a beneficial effect on the cosmetic appearance of a post-operative scar in a patient undergoing a vertical reduction mammoplasty. Although the mechanism ofaction has yet to be determined, this pilot study clearly has demonstrated an improvement in scarappearance and patient satisfaction.