[The vertical double-pedicle method (Mckissock's) for reduction mammoplasty. Report of 10 cases]

Ten cases of macromastia were treated by Mckissok's vertical double-pedicle operation to reduce the size of breast. A sitting or standing posture is taken for preoperative device. The new site of nipple is located at the cross point of midclavicular line and the 5th intercostal space or the line through midpoints of two upper arms. The skin in the middle part of pedicle is thinned into 0.2-0.4 mm in thickness. In order to obtain an ideal appearance of the breast after modeling, appropriate tension of sutures is important. This study suggests that vertical double-pedicle method may shift the nipple and areola upward to a considerable extent, so it is suitable for a moderately and severely enlarged breast and mastoptosis. The advantages of this method are easy to design, a better exposure, convenience for operation, less scar and better sensation over nipple and areola. Therefore vertical double-pedicle method for reducing the size of a huge breast is worthy to be introduced.