Safety and Efficiency of Electrocautery De-Epithelization in Mammoplasty

Mammoplasty is the fifth most commonly performed by plastic surgeons worldwide to improve symptomatology resulting from macromastia.

One of the key stages in a breast reduction or augmentation surgery is the de-epithelization process. De-epithelialization is the first stage of reduction mammoplasty in techniques that use dermal, dermo-glandular pedicles. Traditional methods of de-epithelization include manual dissection or mechanical scraping as time-consuming and demanding by most surgeons, especially when the breasts are large and when there is no assistant available.

Inclusion criteria

• Age ≥ 18 years.
• Patients undergoing mammoplasty.

Exclusion criteria

• Patients with active infections or open wounds at the surgical site.
• Individuals with known hypersensitivity or adverse reactions to electrocautery.
• Pregnant or lactating women.
• Patients with uncontrolled diabetes or coagulation disorders.
• History of psychiatric illness.
• Patients undergoing secondary or repeat breast reduction procedures.