Objectives: The aim of this study is to evaluate the
superior pedicle technique in reduction mammoplasty of
breast hypertrophy.
Background: Breast reduction is a common aesthetic
surgical procedure. It aims not only at bringing the size of
the breast proportionate to the build of the individual, but
also to decrease the discomfort caused by massive, ill-shaped
and hanging breasts. The operative procedure reduces the
breast tissue mass and enhances aesthetic appearance No
technique has been shown to be superior. The superior pedicle
technique preserves superior and medial breast fullness while
providing appropriate resection of the breast parenchyma to
reduce symptoms and produce a smaller, lifted breast with
more youthful appearance.
Patients and Methods: We performed a retrospective chart
review of eighty (80) consecutive patients between September
2015 and October 2019. All the patients underwent bilateral
breast reductions. Preoperative assessment including history,
physical examination, breast ultrasound and mammography.
Also preoperative breast measurements, mainly mid-clavicle
point to NAC distance were taken. Standard breast photography
was also carried out preoperative and 4 weeks postoperative.
All patients were followed 1, 3 and 6 months postoperative
for complications and patient satisfaction.
Results: Patient's age ranged from 20 to 55 years old.
About 71.3% of the patients complained of preoperative
physical problems. The mean distance from mid-clavicle to
nipple in our cases was 33.2 (19-39) cm. The mean length of
nipple transposition was 13.2cm, ranging from 3 to 18cm.
The mean weight of breast tissue resection was 924g, ranging
from 190 to 1800g. The overall postoperative complications
were 20%, in the form of T-junction wound dehiscence (10%),
mild soft tissue infection (3.8%), asymmetry (2.5%), unilateral
partial NAC necrosis (2.5%) and unilateral complete NAC
necrosis (1.3%). 91.3% of the cases were satisfied, 5% acceptable
and 3,8% dissatisfied regarding improvement of
symptoms and size, shape and symmetry of the breasts.
Conclusion: The superior pedicle technique is simple,
safe and reliable technique in reduction mammoplasty with
maintaining upper and medial fullness and giving good aesthetic
results.