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Superomedial pedicle reduction with short scar
Scott L Spear1, Steven P Davison, Ivan Ducic
1Georgetown University Hospital, Washington, DC.
Seminars in Plastic Surgery
|June 25, 2010
Summary
This study presents a reduction mammaplasty technique using a superomedial pedicle and circumareolar/vertical skin excision. It offers flexibility for scar patterns and is ideal for small to moderate breast reductions.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Breast Surgery
Background:
- Inferior pedicles in reduction mammaplasty can complicate vertical scar techniques.
- Alternative pedicle and skin excision patterns are needed for optimal surgical outcomes.
Purpose of the Study:
- To describe and evaluate a reduction mammaplasty technique combining a superomedial pedicle with a circumareolar/vertical skin excision pattern.
- To assess the suitability of this technique for various breast reduction sizes.
Main Methods:
- Utilized a superomedial pedicle for breast tissue elevation.
- Employed a circumareolar and vertical pattern for skin excision.
- Assessed the technique's applicability in small to moderate breast reductions.
Main Results:
- The superomedial pedicle approach effectively avoids interference with vertical scar techniques.
- The circumareolar/vertical skin excision pattern provides flexibility, accommodating short transverse excisions.
- This method is well-suited for patients requiring small to moderate breast volume reduction.
Conclusions:
- The described reduction mammaplasty technique offers a viable alternative for breast reduction surgery.
- It provides surgical flexibility and avoids common complications associated with other methods.
- This approach is particularly effective for achieving desired outcomes in small to moderate reductions.

