Medical pedicle reduction mammaplasty for severe mammary hypertrophy

Maurice Y. Nahabedian, Bernard M. McGibbon, Paul N. Manson

Research output: Contribution to journalArticlepeer-review

Abstract

Current options in reduction mammaplasty for severe mammary hypertrophy include amputation with free-nipple graft as well as the inferior pedicle and bipedicle techniques. Complications of these procedures include nipple- areola, insensitivity, and hypopigmentation. The purpose of this study was to determine whether medial pedicle reduction mammaplasty can minimize these complications. Twenty-three patients with severe mammary hypertrophy were studied. The medial pedicle successfully transposed the nipple-areola complex in 44 of 45 breasts (98 percent). Mean change in nipple position was 17.1 cm, and mean weight of tissue removed was 1604 g per breast. Nipple-areola sensation was retained in 43 of 44 breasts (98 percent) using a medial pedicle. Hypopigmentation was not observed, and central breast projection was restored in all patients. This study has demonstrated that medial pedicle reduction mammaplasty is a safe and reliable technique and should be given primary consideration in cases of severe mammary hypertrophy.

Original languageEnglish (US)
Pages (from-to)896-904
Number of pages9
JournalPlastic and reconstructive surgery
Volume105
Issue number3
DOIs
StatePublished - Mar 2000

ASJC Scopus subject areas

  • Surgery

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