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A Simplified Approach to Breast Reduction Using the Medial Pedicle
Sarah C Hunt1, Yue Sun1, Sanjay Azad1
1Northern Ontario School of Medicine, Thunder Bay, ON, Canada.
Aesthetic Surgery Journal. Open Forum
|June 6, 2022
Summary
This study introduces a modified medial pedicle breast reduction technique using the 15-9-9 framework. The approach is simple to teach and perform, yielding aesthetically pleasing results with low complication rates.
Area of Science:
- Plastic Surgery
- Surgical Techniques
Background:
- Breast reduction is a common plastic surgery procedure.
- A modified medial pedicle technique is presented.
Purpose of the Study:
- Introduce the 15-9-9 framework for medial pedicle breast reduction.
- Demonstrate ease of performance and teaching.
- Achieve favorable patient outcomes.
Main Methods:
- Utilized the 15-9-9 framework for markings, defining medial pedicle dimensions.
- Performed as day surgery under general anesthesia.
- Retrospective review of 80 patients over 6 years.
Main Results:
- Average patient age 49 years, BMI 28 kg/m².
- Average resection weight 464g per breast.
- Low complication rates including minor fat necrosis (14%) and T-junction breakdown (10%).
Conclusions:
- The 15-9-9 framework offers a simple, teachable technique for medial pedicle breast reduction.
- The method results in aesthetically pleasing outcomes.
- Low complication rates support its clinical utility.
