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The Infero-Central Mound Reduction Mammoplasty: A Single Surgeon, 20-year Experience
Haim Yoel Kaplan1,2, Roman Rysin3, Yair Shachar3
1Department of Plastic Surgery, Yitzhak Shamir Medical Center, 70300, Tzrifin, Israel. kapooshon@gmail.com.
Aesthetic Plastic Surgery
|June 28, 2023
Summary
This study presents an infero-central (IC) pedicle technique for reduction mammoplasty (RM). The IC technique demonstrates high patient satisfaction and aesthetic outcomes with minimal complications, making it a valuable surgical option.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Breast Surgery
Background:
- Reduction mammoplasty (RM) is a common procedure with various techniques.
- Nipple-areolar complex necrosis is a significant complication.
- Existing methods have limitations impacting outcomes.
Purpose of the Study:
- To describe a unique infero-central (IC) pedicle technique for reduction mammoplasty.
- To evaluate the efficacy and safety of the IC pedicle technique over two decades.
- To assess patient satisfaction and aesthetic outcomes of the IC technique.
Main Methods:
- Retrospective review of 360 patients undergoing RM with the IC technique.
- Stabilization of the breast mound and plication of the inferior pole dermis.
- Evaluation of pre- and postoperative photographs by a specialist panel and use of the BREAST-Q questionnaire.
Main Results:
- High patient satisfaction scores: 84.19 for satisfaction with breast and 91.67 for outcome.
- Excellent aesthetic outcomes rated highly by plastic surgeons.
- Low complication rates, including dehiscence (3.61%), infection (2.22%), and partial nipple ischemia (0.27%).
Conclusions:
- The infero-central mound technique is suitable for most breast reduction sizes.
- The technique provides consistently satisfactory aesthetic results.
- The robust vascularity of the IC pedicle minimizes complication rates, enhancing its value in plastic surgery.
