Thinning of the medial pedicle in reduction mammoplasty

Abstract

Background. Modifications of reduction mammoplasty techniques are still evolving. Aim. To evaluate a clinical modification using a thin medial pedicle in reduction mammoplasty. Patients and methods. Thirty-two patients (64 breasts) that underwent ultrathin medial pedicle reduction mammoplasty were included. Results. One patient had nipple areola complex (NAC) necrosis. Partial wound dehiscence occurred in five patients and transient wound pigmentation in two patients. Conclusion. The medial pedicle can be used in ultrathin pattern without compromising NAC viability during reduction mammoplasty. This modification adds more flexibility in medial pedicle breast reduction procedure, especially when large reductions are needed in gigantomastia.

Key Words:

• gigantomastia
• medial pedicle
• nipple areola necrosis
• nipple areola vascularity
• reduction mammoplasty

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.