Kasr El Aini Journal of Surgery,
Vol (3), No (2),July 2002: 11-20
A series of 30 patients of breast hypertrophy
were operated upon using the superomedial pedicle technique of reduction
mammaplasty. Nipple elevation up to 14 cms were achieved and resections
as large as 3900 gms per breast were done without vascular compromise of
the nipple areola complex (NAC viable in 98.3%). Nipple-areola sensation
was preserved in 82% of cases and long lasting conical breast projection
was always achievable. The superior pedicle technique is recognized by
many as a technically easy and capable of producing long lasting aesthetic
results. However it is limited to smaller resections. The superomedial
pedicle technique is a modification of the superior pedicle technique that
retains its inherent advantages but can be applied to larger breasts and
allows for more aggressive resection. Incorporation of a medial component
to the superior pedicle and lateral rotation of the pedicle instead of
self infolding allows for higher elevation of the nipple-areola complex
without a significant vascular or sensory compromise. It is an easy, quick
and relatively bloodless technique suitable to different sizes and types
of breast hypertrophy.
