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Updated: Jun 22, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
The triplicated inferior pedicle - a new method for breast reduction and mastopexy
J Katsaros1, I Harvey, Y Caplash
1Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, North Terrace, Adelaide 5000, Australia.
Abstract:
Robbins described the inferior pedicle breast reduction in 1977. Since this time it has proved to be a safe and reliable technique. Favourable results have been reported with regard to breast feeding and nipple sensation. A common criticism of the technique is its tendency to inferior descent (pseudoptosis or bottoming out). This can leave a significantly empty upper pole. By a series of evolutionary modifications over the last 20 years, a technique has developed that overcomes the shortfalls of the inferior pedicle technique. We describe a series of 50 cases using this definitive technique.
