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Improving long-term breast shape with the medial pedicle wise pattern breast reduction.
David L Abramson1, Stephen Pap, Suzan Shifteh
1Department of Plastic Surgery, Manhattan Eye Ear and Throat Hospital, USA.
Plastic and Reconstructive Surgery
|June 1, 2005
Summary
This study shows that the medial pedicle technique for reduction mammaplasty is effective for severe breast hypertrophy, offering reliable results with a low complication rate and reduced long-term pseudoptosis.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Surgery
Background:
- Reduction mammaplasty addresses both reconstructive and aesthetic needs.
- Key indications include relief of neck, back, and shoulder pain, alongside psychosocial improvement.
- Medial pedicle techniques are reliable for severe breast hypertrophy.
Purpose of the Study:
- Evaluate the complication rate of reduction mammaplasty using a medial pedicle technique.
- Assess the operative time associated with this procedure.
- Determine the long-term effects on pseudoptosis after reduction mammaplasty.
Main Methods:
- A series of 88 consecutive patients undergoing reduction mammaplasty were analyzed.
- The medial pedicle technique with Wise pattern skin resection was employed.
- Complication rates, operative times, and long-term pseudoptosis were evaluated.
Main Results:
- Average operative time was 104.5 minutes with an average weight reduction of 1814 g.
- The complication rate was 6.8% over a minimum 1-year follow-up.
- Long-term pseudoptosis showed modest increases: 11% for 500-1200g reductions and 34% for >1200g reductions per side.
Conclusions:
- The medial pedicle technique is effective and reliable for various degrees of breast hypertrophy.
- This method provides reproducible breast weight reduction with acceptably low complication rates.
- The technique demonstrates reduced long-term pseudoptosis, also known as "bottoming out."