Background: Superomedial pedicle reduction mammoplasty
provides satisfactory and symmetrical projection of
the lower pole. Its satisfactory outcome cannot be preserved
consistently for quite some time. This study describes the
combination of superomedial pedicle breast reduction with
the “Hammock" flap suspension sling to obtain a satisfactory
long-term outcome through pedicle support enhancement and
preventing pseudoptosis.
Objective: This study aimed to assess the aesthetic outcome
and the possible complications of superomedial pedicle
in wise pattern reduction mammoplasty combined with a suspension
hammock-flap for additional fixation and stabilisation
of the pedicle and to improve the contour and projection of the
lower pole.
Methods: Fifteen patients with breast hypertrophy eligible
for breast reduction were operated on using a combined
superomedial pedicle reduction mammoplasty with a perforator-
based inferior advancement “Hammock" flap. The “Hammock
flap" fixed to the fascia of pectoralis major muscle and
the superomedial pedicle as a hammock. Breast measurements
were recorded preoperatively and postoperatively (1, 6, and 12
months). Patients reported their own satisfaction with breast
volume, contour, position of the nipple-areola complex (NAC),
and projection of the lower pole at the end of the follow-up < br />period through the BREAST-Q Version 2.0 “Reduction/Mastopexy
Module Pre- and Postoperative Scales questionnaire".
Results: Aesthetic outcomes at one-year post-operative
were satisfactory in almost all patients, as indicated by
BREAST-Q scores, with a low incidence of complication rates.
Furthermore, the postoperative breast measurements were
nearly constant during the follow-up period.
Conclusion: The hammock flap sling technique, which is
performed through an inferior dermo glandular flap, is an approach
that is an effective and safe approach that can improve
pedicle fixation and positioning. Furthermore, it results in a
the favorable long-term aesthetic outcome for patients undergoing
superomedial pedicle reduction mammoplasty.