Internal pedicle shaping to improve aesthetic results in reduction mammaplasty

Abstract

Reduction mammaplasty has been performed utilizing various techniques to achieve reduction in breast volume and to enhance aesthetic shape. The conventional inverted T-scar method is the most widely used technique in breast reduction given its predictability and versatility [1]. Nonetheless, newer surgical techniques have been developed in order to optimize outcome while minimizing associated complications. Pedicle types include inferior, central, superior, lateral, and bipedicle, all of which maintain the blood supply and innervation to the nipple-areola complex [2]-[6]. Cosmetically acceptable placement of scars, although debated, has also been emphasized through additional technical modifications including short scar periareolar inferior pedicle reduction mammaplasty (SPAIR), vertical mammaplasty without inframammary scar, or no vertical scar breast reduction [7]-[10]. © 2008 Springer-Verlag Berlin Heidelberg.