Refinement of the Superomedial Pedicle Technique: A New Approach to Breast Reshaping Following Reduction.

ABSTRACT:

Introduction

We present an alteration of the superomedial pedicle technique in breast reduction to control lateral fullness and create a more natural and contoured breast during reshaping. This approach has been adopted by the senior author (NC) in 79 patients over the past 4 years.

Methods

A wise pattern skin incision is used, and the nipple-areola complex (NAC) is maintained on a de-epithelialized superomedial pedicle. Instead of fully releasing the pedicle from the lateral parenchyma for rotation and inset, a bridge of tissue between the pedicle on its most posterior aspect and the lateral pillar is maintained. Key holding sutures are subsequently placed in Scarpa's fascia for reshaping.

Results

We find that with this refinement, the connection with the lateral pil

SUBMITTER: Jasionowska S 

PROVIDER: S-EPMC10784394 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature