Meridian pedicle-based breast shaping in reduction mammaplasty: a technical modification

Area of Science:

• Plastic Surgery
• Surgical Techniques

Background:

• Vertical reduction mammaplasty techniques can be challenging in large, highly ptotic breasts.
• Existing methods may compromise breast shape and projection.

Purpose of the Study:

• To present a technical modification of vertical reduction mammaplasty.
• To evaluate its efficacy in achieving reliable pedicle, conical breast shape, and projection in large, ptotic breasts.

Main Methods:

• A modified vertical reduction mammaplasty technique involving superior and inferior plication of the vertical pedicle was performed on 32 patients.
• Breast reconstruction involved suturing medial and lateral pillars to the meridian.
• Closure utilized Inverted-T scars (87.5%) or vertical scars (12.5%).

Main Results:

• Patient satisfaction with breast projection, shape, and size was high at 12 and 24 months.
• 12 patients required reoperations, including corrections for bottoming out, further reduction, and scar revisions.
• The technique provided a reliable pedicle with less postoperative drainage.

Conclusions:

• The modified vertical reduction mammaplasty technique yields satisfactory early and late results for breast shape and projection.
• It offers a reliable pedicle and reduced postoperative drainage for managing large, ptotic breasts.