CC BY-NC-ND 4.0 · Indian J Plast Surg 2016; 49(02): 214-219
DOI: 10.4103/0970-0358.191299
Original Article
Association of Plastic Surgeons of India

Long-term follow-up and patient satisfaction after reduction mammoplasty: Superomedial versus inferior pedicle

Mohamed Makboul
Department of Plastic Surgery, Faculty of Medicine, Assiut University, Assiut
,
Mahmoud S. Abdelhamid
1   Department of Plastic Surgery, Faculty of Medicine, Aswan University, Aswan, Egypt
,
Ghada S. Al-Attar
2   Department of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut
› Author Affiliations
Further Information

Address for correspondence:

Dr. Mohamed Makboul
Department of Plastic Surgery, Assiut University Hospital
Assiut 71526
Egypt   

Publication History

Publication Date:
13 August 2019 (online)

 

ABSTRACT

Background: Surgery for hypertrophied breasts represents a challenge for plastic surgeons. The search for a good post-surgical cosmetic breast has led to the development of many techniques. Objectives for reduction mammoplasty are to achieve elevated, symmetrical breasts, a round shape, good projection, small cicatrices that are not very perceptible, and a lasting result. Patients and Methods: This study was carried out on sixty cases who had done reduction mammoplasty from January 2009 to December 2014. All patients were examined and were asked for late post-operative results and overall patients’ satisfaction. Results: Long-term projection and contour of the breast were more satisfactory among patients who had superomedial pedicle with a statistically significant difference. No statistically significant difference was observed between patients underwent either superomedial or inferior pedicle reduction mammoplasty with regard to breast shape symmetry, nipple symmetry and sensation. The mean score for satisfaction was higher among patients who underwent superomedial pedicle rather than the inferior pedicle method. Conclusion: The superomedial pedicle shows better long-term cosmetic results.


#

 


#

Conflicts of interest

There are no conflicts of interest.

  • REFERENCES

  • 1 Guyuron B. Plastic Surgery. Indications, Operations and Outcomes. St. Louis: Mosby; 2000: p. 2709
  • 2 Finger RE, Vasquez B, Drew GS, Given KS. Superomedial pedicle technique of reduction mammaplasty. Plast Reconstr Surg 1989; 83: 471-80
  • 3 Lassus C. A technique for breast reduction. Int Surg 1970; 53: 69-72
  • 4 Lassus C. Breast reduction: Evolution of a technique – a single vertical scar. Aesthetic Plast Surg 1987; 11: 107-12
  • 5 Lassus C. A 30-year experience with vertical mammaplasty. Plast Reconstr Surg 1996; 97: 373-80
  • 6 Lejour M. Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg 1994; 94: 100-14
  • 7 Lejour M, Abboud M, Declety A, Kertesz P. Reduction of mammaplasty scars: From a short inframammary scar to a vertical scar. Ann Chir Plast Esthet 1990; 35: 369-79
  • 8 McKissock PK. Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg 1972; 49: 245-52
  • 9 Robbins TH. A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle. Plast Reconstr Surg 1977; 59: 64-7
  • 10 Courtiss EH, Goldwyn RM. Reduction mammaplasty by the inferior pedicle technique. An alternative to free nipple and areola grafting for severe macromastia or extreme ptosis. Plast Reconstr Surg 1977; 59: 500-7
  • 11 Ribeiro L. A new technique for reduction mammaplasty. Plast Reconstr Surg 1975; 55: 330-4
  • 12 Hidalgo DA, Elliot LF, Palumbo S, Casas L, Hammond D. Current trends in breast reduction. Plast Reconstr Surg 1999; 104: 806-15
  • 13 Mizgala CL, MacKenzie KM. Breast reduction outcome study. Ann Plast Surg 2000; 44: 125-33
  • 14 Bohmert H, Gabka CJ. Plastic and Reconstructive Surgery of the Breast. A Surgical Atlas. Stuttgart, New York: Thieme; 1997: p. 37
  • 15 Orlando JC, Guthrie Jr RH. The superomedial dermal pedicle for nipple transposition. Br J Plast Surg 1975; 28: 42-5
  • 16 Hauben DJ. Experience and refinements with the supero-medial dermal pedicle for nipple-areola transposition in reduction mammoplasty. Aesthetic Plast Surg 1984; 8: 189-94
  • 17 Hugo NE, McClellan RM. Reduction mammaplasty with a single superiorly-based pedicle. Plast Reconstr Surg 1979; 63: 230-4
  • 18 Nahabedian MY, McGibbon BM, Manson PN. Medial pedicle reduction mammaplasty for severe mammary hypertrophy. Plast Reconstr Surg 2000; 105: 896-904
  • 19 Bricout N. Breast Surgery. Paris: Springer-Verlag; 1996
  • 20 Nahai F. Clinical decision-making in Breast surgery. The Art of Aesthetic Surgery. Missouri: Quality Medical Publishing, Inc.; 2005: p. 1817-58
  • 21 Hall-Findlay EJ. Pedicles in vertical breast reduction and mastopexy. Clin Plast Surg 2002; 29: 379-91
  • 22 Reus WF, Mathes SJ. Preservation of projection after reduction mammaplasty: Long-term follow-up of the inferior pedicle technique. Plast Reconstr Surg 1988; 82: 644-52
  • 23 Karp NS. Medial pedicle/vertical breast reduction made easy: The importance of complete inferior glandular resection. Ann Plast Surg 2004; 52: 458-64
  • 24 White DJ, Maxwell GP. Reduction mammoplasty. In: Achauer BM, Eriksson E, Guymon B, Coleman III JJ, Russell RC, Nander Kolh A. et al. editors. Plastic Surgery Indications, Operations, and Outcomes. St Louis: Mosby; 2000: p. 2705-43

Address for correspondence:

Dr. Mohamed Makboul
Department of Plastic Surgery, Assiut University Hospital
Assiut 71526
Egypt   

  • REFERENCES

  • 1 Guyuron B. Plastic Surgery. Indications, Operations and Outcomes. St. Louis: Mosby; 2000: p. 2709
  • 2 Finger RE, Vasquez B, Drew GS, Given KS. Superomedial pedicle technique of reduction mammaplasty. Plast Reconstr Surg 1989; 83: 471-80
  • 3 Lassus C. A technique for breast reduction. Int Surg 1970; 53: 69-72
  • 4 Lassus C. Breast reduction: Evolution of a technique – a single vertical scar. Aesthetic Plast Surg 1987; 11: 107-12
  • 5 Lassus C. A 30-year experience with vertical mammaplasty. Plast Reconstr Surg 1996; 97: 373-80
  • 6 Lejour M. Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg 1994; 94: 100-14
  • 7 Lejour M, Abboud M, Declety A, Kertesz P. Reduction of mammaplasty scars: From a short inframammary scar to a vertical scar. Ann Chir Plast Esthet 1990; 35: 369-79
  • 8 McKissock PK. Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg 1972; 49: 245-52
  • 9 Robbins TH. A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle. Plast Reconstr Surg 1977; 59: 64-7
  • 10 Courtiss EH, Goldwyn RM. Reduction mammaplasty by the inferior pedicle technique. An alternative to free nipple and areola grafting for severe macromastia or extreme ptosis. Plast Reconstr Surg 1977; 59: 500-7
  • 11 Ribeiro L. A new technique for reduction mammaplasty. Plast Reconstr Surg 1975; 55: 330-4
  • 12 Hidalgo DA, Elliot LF, Palumbo S, Casas L, Hammond D. Current trends in breast reduction. Plast Reconstr Surg 1999; 104: 806-15
  • 13 Mizgala CL, MacKenzie KM. Breast reduction outcome study. Ann Plast Surg 2000; 44: 125-33
  • 14 Bohmert H, Gabka CJ. Plastic and Reconstructive Surgery of the Breast. A Surgical Atlas. Stuttgart, New York: Thieme; 1997: p. 37
  • 15 Orlando JC, Guthrie Jr RH. The superomedial dermal pedicle for nipple transposition. Br J Plast Surg 1975; 28: 42-5
  • 16 Hauben DJ. Experience and refinements with the supero-medial dermal pedicle for nipple-areola transposition in reduction mammoplasty. Aesthetic Plast Surg 1984; 8: 189-94
  • 17 Hugo NE, McClellan RM. Reduction mammaplasty with a single superiorly-based pedicle. Plast Reconstr Surg 1979; 63: 230-4
  • 18 Nahabedian MY, McGibbon BM, Manson PN. Medial pedicle reduction mammaplasty for severe mammary hypertrophy. Plast Reconstr Surg 2000; 105: 896-904
  • 19 Bricout N. Breast Surgery. Paris: Springer-Verlag; 1996
  • 20 Nahai F. Clinical decision-making in Breast surgery. The Art of Aesthetic Surgery. Missouri: Quality Medical Publishing, Inc.; 2005: p. 1817-58
  • 21 Hall-Findlay EJ. Pedicles in vertical breast reduction and mastopexy. Clin Plast Surg 2002; 29: 379-91
  • 22 Reus WF, Mathes SJ. Preservation of projection after reduction mammaplasty: Long-term follow-up of the inferior pedicle technique. Plast Reconstr Surg 1988; 82: 644-52
  • 23 Karp NS. Medial pedicle/vertical breast reduction made easy: The importance of complete inferior glandular resection. Ann Plast Surg 2004; 52: 458-64
  • 24 White DJ, Maxwell GP. Reduction mammoplasty. In: Achauer BM, Eriksson E, Guymon B, Coleman III JJ, Russell RC, Nander Kolh A. et al. editors. Plastic Surgery Indications, Operations, and Outcomes. St Louis: Mosby; 2000: p. 2705-43