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Ann Thorac Surg 1992;53:1023-1024
© 1992 The Society of Thoracic Surgeons
Second Department of Surgery, University of Vienna, Vienna, Austria
Accepted for publication November 22, 1991.
* Address reprint requests to Dr Deutinger, Second Department of Plastic Surgery, University of Vienna, Spitalgasse 23, A-1090 Vienna, Austria.
Vertical incision for median Sternotomy may result in unsightly scars. Therefore we have used a horizontal approach in women since the early 1980s. Of 36 women, 27 came for a follow-up examination. A tendency toward scar hypertrophy was found medially in 7 women. Four breast-fed their child after operation. Reduced areola sensitivity occurred in only 9 women. Horizontal submammary skin incision resulted in cosmetically acceptable scar formation and did not harm breast development and lactation.
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