Breast Reduction Mammoplasty: Inferior Pedicle Technique

CSurgeries ◽  
2020 ◽  
Author(s):  
Mary Rhomberg
Keyword(s):  
Breast Reduction ◽  
Reduction Mammoplasty ◽  
Inferior Pedicle ◽  
Inferior Pedicle Technique

TECHNICAL REFINEMENT IN BREAST REDUCTION USING THE INFERIOR PEDICLE TECHNIQUE

2002 ◽  
Vol 109 (7) ◽  
pp. 2604-2605 ◽  
Author(s):  
S. Azad ◽  
D. Bell ◽  
P. Mohammed ◽  
M. W. H. Erdmann
Keyword(s):  
Breast Reduction ◽  
Inferior Pedicle ◽  
Technical Refinement ◽  
Inferior Pedicle Technique

Age and Body Mass Index Affect Patient Satisfaction Following Reduction Mammoplasty: A Multicenter Study Using BREAST-Q

2021 ◽  
Author(s):  
Mads Gustaf Jørgensen ◽  
Elin Albertsdottir ◽  
Farima Dalaei ◽  
Jørgen Hesselfeldt-Nielsen ◽  
Volker-Jürgen Schmidt ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Well Being ◽  
Reduction Mammoplasty ◽  
Inferior Pedicle ◽  
Related Factors ◽  
Patient’S Satisfaction ◽  
Time Of Surgery ◽  
Postoperative Scar ◽  
Inferior Pedicle Technique

Abstract Background Reduction mammoplasty effectively improves quality of life for women with macromastia. However, little is known whether surgical- or patient-related factors affect satisfaction. Objective To investigate factors associated with altered patient satisfaction following reduction mammoplasty. Methods A cross-section study was performed by sending the BREAST-Q Reduction module to all patients, whom had undergone reduction mammoplasty between January 2009 and December 2018 at two tertiary Danish hospitals. Demographics, pre-, per- and postoperative details were gathered from electronic medical records. Results 393 patients returned the questionnaire and were eligible for the study. Increasing age at the time of surgery was associated with higher satisfaction with breasts (p<0.001), nipples(p<0.001), headache(p <0.05), psychosocial well-being(p<0.001), and outcome(p<0.05). Increased BMI at the time of surgery negatively affected satisfaction with breasts(p<0.05) and psychosocial well-being(p<0.05). Increase in BMI after surgery was further associated with lower satisfaction with breasts(p<0.05), nipples(p<0.05), sexual well-being(p<0.05), and more pain in the breast area(p<0.05). Postoperative scar revision and wound infection was more common following inferior pedicle technique than superomedial technique(p<0.05) and negatively affected satisfaction with outcome(p<0.05) and pain in the breast area(p<0.05). Conclusion Patients should be motivated to optimize their weight prior to reduction mammoplasty to achieve optimal satisfaction. Furthermore, reduction mammoplasty can benefit obese patients by facilitating subsequent weight loss for additional satisfaction. Age was associated with improved patient satisfaction and this should considered when operating on younger patients. Postoperative complications affect patient’s satisfaction and the superomedial technique seems to be a better choice than the inferior pedicle technique in medium-large breasts.

Breast Reduction—An Analysis of 105 Cases Comparing the Superior- and Inferior-Pedicle Techniques

1996 ◽  
Vol 13 (1) ◽  
pp. 31-41
Author(s):  
Howard A. Tobin ◽  
Thomas V. Houting
Keyword(s):  
Patient Satisfaction ◽  
Breast Reduction ◽  
Operating Time ◽  
Surgical Techniques ◽  
Patient Questionnaire ◽  
Inferior Pedicle ◽  
Breast Hypertrophy ◽  
Surgical Options ◽  
High Degree ◽  
Inferior Pedicle Technique

An analysis of 105 consecutive breast reduction cases carried out by means of either the superior- or inferior-pedicle technique was undertaken in an effort to compare the two techniques and evaluate patient satisfaction. The two techniques were compared on the basis of weight of tissue excised from each breast, upward nipple displacement required, patient age, complications, operating time, and histopathology. A patient questionnaire sent to each subject in the study evaluated satisfaction with the surgery. It is concluded from this study that both the superior- and inferior-pedicle techniques are safe, versatile, and workable surgical options which can be incorporated within a cosmetic surgical practice. Both procedures, when utilized for appropriate indications, serve as means to address all degrees of breast hypertrophy. There was a high degree of patient satisfaction for both surgical techniques, with evidence of significant reduction in the symptoms that often led patients to consider the operation.

Bifurcated Inferior Pedicle with a Bucket-Handle Pectoralis Flap to Enhance Superior Pole Fullness in Breast-Reduction Surgery

2003 ◽  
Vol 20 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Kristi Sumpter ◽  
Sam Gershenbaum ◽  
Mont J. Cartwright
Keyword(s):  
Breast Reduction ◽  
Pectoralis Major Muscle ◽  
Inferior Pedicle ◽  
Breast Reduction Surgery ◽  
Superior Portion ◽  
Superior Pole ◽  
Inferior Pedicle Technique ◽  
Bucket Handle ◽  
Pectoralis Flap

Introduction: Breast-reduction surgery utilizing the inferior pedicle technique is popular among breast surgeons because of its reliable areolar neurovascular preservation qualities. Although smaller, more elevated breast mounds are achieved, one shortcoming is persistent or recurrent glandular ptosis with loss of superior pole fullness (bottoming-out). A modification of the inferior pedicle technique is presented, which enhances and maintains the aesthetically desired bulk in the superior pole of the breast. Methods: After creating an inferior pedicle with a generous base width, a superior portion of the pedicle is incompletely bifurcated. The superior section of bifurcated inferior pedicle is secured superiorly high on the pectoralis fascia after passing it through a bipedicle (bucket-handle) flap of pectoralis major muscle. Result: The support afforded by the pectoralis flap to the superior section of this bifurcated inferior pedicle helps maintain the position of the superiorly placed breast parenchyma. This provides long-term superior pole fullness. Discussion: The modification is safe, and surgeons who are comfortable with the inferior pedicle technique should master it easily. The technique and surgical results are presented.

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