Background: Reduction mammoplasty is one of the most
commonly performed procedures in plastic surgery. Women
who performed breast reduction gains relief of the symptoms
associated with mammary hypertrophy and obtain good body
image. The inferior pedicle Wise pattern reduction is the most
common breast reduction technique. The new breast is made
by stretching the skin over the parenchyma.
Objective: Assessment of inferior pedicle technique was
made after management large ptotic breasts.
Patients and Methods: Between June 2012 and March
2017, a total of 21 patients with bilateral large ptotic breasts
underwent inferior pedicle technique. Preoperatively, we
measured for each patient her height, weight and body mass
index (BMI) also the sternal notch-to-nipple distance.
Results: The mean age of the participants was 28 years
(range: 22-45). Average height was 155.2cm, average weight
was 66.4kg and the average BMI was 27.5kg/m2. In Egypt,
women expressed bra size in numbers. The number size of
bra decreased from 4-10 numbers down postoperatively (mean
number: 6). These numbers were mainly subjective as many
patients were not adequately evaluated for bra fitting. Reduction
of up to 1500 g per side was achieved. The amount of
tissue removed was between 800 and 1500g per side in all
patients (mean 950 gram). The mean surgical time was about
180 minutes.
Conclusion: Inferior pedicle technique with some technical
refinements was proven to be an excellent technique for breast
reduction of large and ptotic breasts.