Optimizing the results of superomedial pedicle reduction mammaplasty | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 22 March 2022 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2022.125287.1156 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Adham Farouk ; Mohamed Hany Abouarab 
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| Department of Plastic and Reconstructive Surgery and Burns, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. | ||||
| Abstract | ||||
| Reduction mammaplasty is commonly performed for females suffering from gigantomastia to relieve complaints such as pain of the breast, neck, and skin problems. Surgeons continuously aim to develop the best techniques for breast reduction through improving the results and decreasing complications. The superomedial pedicle technique combined with Wise-pattern skin resection has been frequently used as it provides several advantages such as the longevity of the results by avoiding bottoming out of the breast which occurs more with other techniques of breast reduction. This study was performed to evaluate the use of superomedial breast reduction technique combined with two modifications (dermal transection and two dermal wings) to optimize the results of the superomedial technique. In this study, two modifications were used to optimize the results of superomedial pedicle, namely transection of the dermis at the base of the pedicle to facilitate the rotation of the pedicle and two dermal wings to act as an internal bra to suspend the remaining breast tissue after the reduction procedure. This study was performed on 30 patients complaining of huge breasts in the period between 2019 and 2020. Complications were recorded as follows: minor wound dehiscence (3 cases), minor nipple areolar complex necrosis (3 cases), and revision surgery (1 case). No patient reported nipple sensation problems. No bottoming out occurred in any of the cases. This novel way of dermal flaps suspension combined with dermal transection at the pedicle base is a valuable tool for optimizing the results of superomedial reduction mammaplasty. | ||||
| Keywords | ||||
| reduction mammoplasty; superomedial pedicle; breast reduction; dermal wings | ||||
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