Background: In this study, we present our technique of
the septum-based superomedial pedicle reduction mammoplasty
using an inverted T scar pattern. It is based on the
Wuringer's horizontal breast septum, through which run the
main neurovascular supply to the nipple-areola complex
(NAC).
Patients and Methods: The study included 35 cases with
bilateral breast hypertrophy. The mean suprasternal notch to
nipple (SSN-N) distance in our cases was 39.7±5.6cm. The
mean nipple elevation in our cases was 17.9±4.6cm. Our mean
resection weight was 764±160 grams per side. We had 6 cases
with resection weight exceeding 1500 grams per side.
Results: We had no cases of partial or total necrosis of
the NAC. Immediate postoperative breast sensation was
preserved in 26 cases and was impaired in 9 cases but it was
regained spontaneously within 6 months.
Conclusion: The septum-based superomedial pedicle
technique of reduction mammoplasty is safe technique with
improved NAC vascularity and sensation, even in cases of
gigantomastia, owing to the preservation of the important
neurovascular structures related to the breast septum.