Evaluation of the Effectiveness of Superomedial Pedicle Technique in Reduction Mammoplasty | ||
| Suez Canal University Medical Journal | ||
| Article 3, Volume 26, Issue 12, December 2023, Pages 26-36 PDF (729.37 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/scumj.2023.430384 | ||
| Authors | ||
| Sherif Mohsen Abdelmeged* ; Omar Salah Eldeen Abdulkader; Ahmed Elhusin Mohamed; Mohamed Abdelmoaty Albadawy | ||
| General Surgery Department Plastic Surgery Unit, Faculty of Medicine, Suez Canal University Ismailia Egypt | ||
| Abstract | ||
| Abstract: Background: Reduction mammoplasty is a widely preformed procedure in plastic surgery, according to the American Society of Plastic Surgeons (ASPS), Breast reduction is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with the body and to alleviate the discomfort associated with excessively large breasts (macromastia). Many reduction mammoplasty techniques have been described for patients with breast hypertrophy. however, the ideal technique remains controversial. For the past three decades, the most commonly performed breast reduction procedure has been the inferior pedicle which gives consistent and reproducible results. with excellent survival of the nipple- areola complex (NAC) but it has the major disadvantage of bottoming out of the breasts over time, dog ears and scarring. The superomedial pedicle technique had gained popularity as it has the advantages of improvement of superior pole fullness and more extensive lateral parenchymal reduction, reducing the tendency of bottoming-out, preserve sensation to NAC and consuming less operation time. Aim of the study: to improve the aesthetic and the clinical outcome of reduction mammoplasty using superomedial pedicle technique. Methods: This is an uncontrolled clinical study conducted on patients visiting the plastic surgery clinic in Suez Canal University hospital. The study included female patients aging between 18 to 60 years presented with symptomatic bilateral breast hypertrophy Results: Fifteen patients were eligible for reduction mammoplasty with superomedial pedicle technique. The mean pedicle length before mammoplasty was 33.07± 2.91 cm, and the mean after the operation was 21.07±0.46 cm. The nipple to IMF before mammoplasty mean was 15.07 ± 0.80 cm, which became 7.13 ± 0.35 after. Nipple to nipple before mammoplasty was 26.67± 1.68 cm, it became 20.93±0.26 after the operation. Postoperatively, the mean improvement of physical symptoms after the operation was 96.30%±4.00%. The mean breast satisfaction score was 86±4.0%. The most common complication among the study group was altered sensation (60%) but most of them have improved sensation in both NAC three months postoperatively. Conclusion: Superomedial pedicle technique is a safe technique for breast reduction with NAC preservation rates that approach 100%. It can be used safely in breast hypertrophy with pedicle lengths up to 38 cm. This technique shows better long‑term aesthetics with projection and aesthetically desirable upper and medial fullness while diminishing the risk of bottoming out | ||
| Keywords | ||
| Superomedial pedicle technique; Nipple areolar complex; Body mass index | ||
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