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Seat belt breast injury: a reconstructive approach to managing unilateral bisected breast deformity
  1. George Lafford1,
  2. Stephen Mulgrew1,
  3. Guido Köhler1 and
  4. Richard Haywood1,2
  1. 1Plastic Surgery Department, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK
  2. 2Anatomy Department, University of East Anglia Norwich Medical School, Norwich, UK
  1. Correspondence to Dr George Lafford; George.Lafford{at}


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–areola complex and contralateral breast reduction using Wise-pattern incisions based on superior pedicles. She made an excellent recovery with an improved aesthetic result.

  • breast surgery
  • plastic and reconstructive surgery
  • trauma

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  • Contributors GL collected information and wrote the manuscript. SM, GK and RH edited the manuscript and provided expert advice.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.