Abstract
The major advantages of the superomedial pedicle breast reduction/mastopexy are superior pole fullness, reliability and safety regarding NAC viability, and more durable results on long-term follow-up with decreased risk of bottoming-out. The authors discuss a modification of the technique that leads to safer and more predictable results. By incorporating the superior component to the medial pedicle, additional blood supply through the lateral thoracic artery to the internal mammary artery perforators is brought, decreasing the chances of NAC suffering. Likewise, additional nerve supply through anterior and lateral cutaneous branches of the intercostal nerves increases the chance of preserving NAC sensibility. The surgical technique and complications.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Strombeck JO. Reduction mammaplasty. A report on a new technique based on the two-pedicle procedure. Br J Plast Surg. 1960;13:79–90.
McKissock P. Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg. 1972;49(3):245–52.
Weiner DL, Aiache AE, Silver L, Tittiranonda T. A single dermal pedicle for nipple transposition in subcutaneous mastectomy, reduction mammaplasty or mastopexy. Plast Reconstr Surg. 1973;51(2):115–20.
Robbins TH. A reduction mammaplasty with the nipple-areola based on an inferior dermal pedicle. Plast Reconstr Surg. 1977;59(1):64–7.
Skoog T. A technique of breast reduction: transposition of the nipple on a cutaneous vascular pedicle. Acta Chir Scand. 1963;126:453–65.
Nahabedian M, Mc Gibbon B. Medial pedicle reduction mammaplasty for severe mammary hypertrophy. Plast Reconstr Surg. 2000;105(3):896–904.
Gasperoni C, Salgarello M, Gasperoni P. A personal technique: mammaplasty with J-scar. Ann Plast Surg. 2002;48(2):124–30.
Hall-Findlay E. Pedicles in vertical breast reduction and mastopexy. Clin Plast Surg. 2002;29(3):379–91.
Orlando JC, Gutherie Jr RH. The superomedial dermal pedicle for nipple transposition. Br J Plast Surg. 1975;28(1):42–5.
Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg. 1999;104(3):748–59.
Kerrigan C, Comizio R. Supero-medial pedicle breast reduction using a vertical pattern. In: Hall-Findlay E, Evans G, editors. Aesthetic and reconstructive surgery of the breast. Philadelphia: Saunders Elsevier; 2010. p. 283–98.
Lista F, Ahmad J. Superior and medial pedicle breast reduction using a vertical pattern. In: Hall-Findlay E, Evans G, editors. Aesthetic and reconstructive surgery of the breast. Philadelphia: Saunders Elsevier; 2010. p. 299–310.
O’Dey D, Prescher A, Pallua N. Vascular reliability of nipple-areola complex-bearing pedicles: an anatomical microdissection study. Plast Reconstr Surg. 2007;119(4):1167–76.
Van Deventer PV, Page BJ, Graewe FR. The safety of pedicles in breast reduction and mastopexy procedures. Aesthetic Plast Surg. 2008;32(2):307–12.
Antohi N, Isac C. Medial and inferior bipedicle breast reduction for gigantomastia and mammary hypertrophy. In: Shiffman ME, editor. Mastopexy and breast reduction: principles and practice. Berlin: Springer; 2009. p. 451–64.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Antohi, N., Isac, C., Bratu, T., Vitalie, S., Florian, B. (2015). Breast Reduction/Mastopexy with Superomedial Pedicle. In: Mugea, T.T., Shiffman, M.A. (eds) Aesthetic Surgery of the Breast. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43407-9_46
Download citation
DOI: https://doi.org/10.1007/978-3-662-43407-9_46
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-43406-2
Online ISBN: 978-3-662-43407-9
eBook Packages: MedicineMedicine (R0)