Response to “Long-Term Radiographic and Photographic Evaluation of the Pectoralis Muscle Loop in Reduction Mammaplasty”

The aim of this prospective radiological study was to investigate whether the use of a pectoralis major muscle sling could retard the descent of a chest wall-based flap. By using titanium clips as radiologic markers, the chest wall-based flap was assessed with and without the utilization of the pectoralis major muscle sling. The main objective was to prove the superiority of the pectoralis major muscle sling to retard the descent of the chest wall flap over a 10-year period.1 Body mass index (BMI) throughout the 10-year study showed a variation of 1.47 to 7.14 kg/m2 (mean variation: 4.38 kg/m2 in the study group; 2.09 kg/m2 in the control group). We believe that BMI variation did not interfere with the position of the clips, thus reducing the possibility of bias. During the radiological review of both groups, the frontal view was selected as the superior indicator and facilitator of titanium clip migration on the chest wall with reference to fixed anatomical points. A lateral view was deemed to have less sensitivity to denote changes in vertical displacement.2 We agree that the projection utilized in our study was not described. In all patients, the posteroanterior projection did not …