Supero-Septum Pedicle Mammaplasty: A New Modification for Reduction Mammaplasty

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Surgery

Background:

• Reduction mammaplasty techniques vary, with evaluations focusing on aesthetics, longevity, complications, and nipple-areola complex (NAC) sensation.
• Surgeon preference and patient needs dictate the choice of reduction mammaplasty technique.

Purpose of the Study:

• To introduce and evaluate a modified supero-septum pedicle mammaplasty (SSPM) technique.
• To assess the suitability of SSPM for macromastia and gigantomastia cases.

Main Methods:

• A prospective study evaluated 60 women undergoing SSPM between 2015 and 2018.
• The technique involved superior pedicle deepithelialization, resection of specific breast segments, and preservation of a lateral pillar tissue tongue for fixation.
• The septum pedicle was secured to the fascia and muscle near the sixth rib.

Main Results:

• Mean nipple-to-sternal notch distance was 33.05 cm; mean NAC elevation was 10.92 cm.
• Breast reductions ranged from 270 to 2800 g per breast.
• Complications included wound dehiscence (5%), wound infection (2.5%), and partial NAC necrosis (2.5%). NAC sensation improved significantly postoperatively (P < 0.005).

Conclusions:

• SSPM is a safe reduction mammaplasty method, even for gigantomastia.
• The technique achieves good aesthetic outcomes.
• SSPM effectively preserves NAC circulation and sensation.