Optimizing the Aesthetic Result and Safety of Inferior Pedicle Reduction Mammaplasty

Elkafrawy, Hossam Y; Zidan, Ahmed; Farouk, Adham

doi:10.21608/ejprs.2020.68213

Optimizing the Aesthetic Result and Safety of Inferior Pedicle Reduction Mammaplasty

Document Type : Original Article

Authors

The Department of General Surgery, Plastic Surgery Unit, Faculty of Medicine, Alexandria University , Egypt

10.21608/ejprs.2020.68213

Abstract

Background: The inferior pedicle Wise pattern breast
reduction is one of the most popular techniques used. However,
some criticism and disadvantages of the technique needs to
be revised and modified to reach better results.
Patients and Methods: This is a prospective randomized
study that included 30 female patients suffering from breast
hypertrophy and they are candidate for the proposed technique.
They under go breast reduction procedure with modified
inverted T/inferior pedicle technique.
Results: This study includes 30 female patients of an age
ranged between 24-53 years old and a breast size (suprasternal
notch to nipple distance) ranging from 30 to 43cm. The weight
of removed tissues during surgery in our study was ranging
from 650 to 1980 grams. The follow-up for 1-year postoperative
shows patient satisfaction reaching 70%.
Conclusion: Modification and refining the inverted
T/inferior pedicle technique could give us a better aesthetic
and functional results with minimization of the problems
associated with this technique.

Keywords

Inferior pedicle reduction – Mammaplasty

Main Subjects

Aesthetics

References

1- Regnault P.: Breast ptosis. Definition and treatment. Clin.
Plast. Surg., 3 (2): 193-201, 1976.
2- Ppitanguy I.: Surgical treatment of breast hypertrophy.
Br. J. Plast. Surg., 20 (1): 78-85, 1967.
3- Shakesppeare V. and Popostle K.: A qualitative study of
patients’ views on the effects of breast-reduction surgery:
A 2-year follow-up survey. Br. J. Plast. Surg., 52 (3): 198-
204, 1999.
4- Blomqvist L., Eriksson A. and Brandberg Y.: Reduction
mammaplasty provides long-term improvement in health
status and quality of life. Plast. Reconstr. Surg., 106 (5):
991-997, 2000.
5- Hamdi M., Greuse M., Nemec E., Deprez C. and DeMey
A.: Breast sensation after superior pepdicle versus inferior
pedicle mammaplasty: Anatomical and histological evaluation.
Br. J. Plast. Surg., 54 (1): 43-46, 2001.
6- Marshall D.R., Callan P.P. and Nicholson W.: Breastfeeding
after reduction mammaplasty. Br. J. Plast. Surg., 47 (3):
167-169, 1994.
7- Brzozowski D., Niessen M., Evans B. and Hurst L.N.:
Breastfeeding after inferior pedicle reduction mammaplasty.
Plast. Rec. Surg., 105 (2): 530-534, 2000.
8- McKissock P.K.: Reduction mammaplasty with a vertical
dermal flap. Plast. Reconstr. Surg., 49 (3): 245-252, 1972.
9- Robbins T.H.: A reduction mammaplasty with areolarnipple
based on an inferior dermal pedicle. Plast. Reconstr.
Surg., 59 (1): 64-67, 1977.
10- Nahai F.: The art of aesthetic surgery: Principles and
techniques, Quality Medical Publishing, Inc., p. 1799,
2005.
11- Mugea T.T.: Rules in breast aesthetic surgery. The 4th
international congress of romainan aesthetic surgery
society, Bucharest, Romania, October 3-5th, 2002.
12- Faria F.S., Guthrie E., Bradbury E. and Brian A.N.:
Psychosocial outcome and patient satisfaction following
breast reduction surgery. Br. J. Plast. Surg., 52 (6): 448-
452, 1999.
13- Nakajima H., Imanishi N. and Aiso S.: Arterial anatomy
of the nipple-areola complex. Plast. Reconstr. Surg., 96
(4): 439-450, 1995.
14- Sarhadi N.S., Shaw Dunn J., Lee F.D. and Soutar D.S.:
An anaatomical study of the nerve supply of the breast,
including the nipple and areola. Br. J. Plast. Surg., 49 (3):
156-164, 1996.
15- Wuringer E., Mader N., Posch E. and Holle J.: Nerve and
532 Vol. 43, No. 3 / Optimizing the Aesthetic Result & Safety of Inferior Pedicle
vessel supplying ligamentous suspension of the mammary
gland. Plast. Reconstr. Surg., 101 (6): 1486-1493, 1998.
16- Wise R.J.: A preliminary report on a method of planning
the mammaplasty. Plast. Reconstr. Surg., 17: 367, 1956.
17- Godwin Y., Wood S.H. and O’Neil T.J.: A comparison of
the patient and surgeon opinion on the long-term aesthetic
outcome of reduction mammaplasty. Br. J. Plast. Surg.,
51 (6): 444-44914, 1998.
18- Mizgala C.L. and MacKenzie K.M.: Breast reduction
outcome study. Ann. Plast. Surg., 44 (2): 125-13315,
2000.
19- Celebiler O., Sonmez A., Erdim M., Yaman M. and
Numanoglu A.: Patients’ and surgeons’ perspectives on
the scar components after inferior pedicle breast reduction
surgery. Plast. Reconstr. Surg., 116 (2): 459-464, 2005.
20- Würinger E. and Tschabitscher M.: New aspects of the
topography of the mammary gland regarding its neurovascular
supply along a regular ligamentous suspension.
Eur. J. Morphol., 40 (3): 181-9, 2003.
21- Würinger E.: Vertical scar mammaplasty with the inferocentral
pedicle. In: Hamdi M., Hammond D.C., Nahai F.,
editors. Vertical scar mammaplasty. Berlin: Springer,
2005.