Related Experiment Video
Updated: Jul 8, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
[Reduction mammaplasty with the superomedial glandular pedicle]
Li Teng1, Fei-nan Zhang, Jian-jian Lu
1Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Objective:
To explore a new technique that keep function and good aesthetic shape after reduction mammaplasty.
Methods:
The superomedial glandular pedicle technique was applied with differing patterns of skin incision according to the degree of the mammary hypertrophy. The extra glandular tissue was removed from the lateral and inferior segment of the breast. The remaining superomedial glandular tissue was remodeled a conical shape. The skin incision was sutured after excision of excess skin.
Results:
36 cases (72 breasts) were treated with this technique. The results were satisfactory and there were no complications. The breasts maintained a lasting and aesthetically pleasing shape and the nipple-areola preserved good sensation.
Conclusions:
The superomedial glandular pedicle is a safe and effective technique that can provide long-lasting outcome. The design of the procedure can be adapted to a variety of skin incision patterns and breast morphologies.
