Retrospective analysis of a personal casuistry in reduction mammoplasty using the inferior pedicle technique for various indications

ABSTRACT

Introduction:

Breast reduction surgery has been widely discussed, as different techniques are used to perform this procedure. The pursuit for aesthetics combined with surgical procedures that cause less unsightly scars promoted the development of alternative methods for breast reduction. The aim of this study was to conduct a bibliographic review of this technique, and present a personal casuistry regarding reduction mammoplasty using the inferior pedicle technique and compare it with those in the existing literature.

Methods:

This study describes the surgical approach used in 60 patients, their experience, and the results obtained with reduction mammoplasty performed with the inferior pedicle technique. The patients were followed up in outpatient settings at 15, 30, and 60 days; 3 months; 6 months; and 1 year.

Results:

Some complications occurred in the postoperative period but did not impair the final results. These include partial loss of sensitivity of the nipple-areolar complex, partial necrosis of the areola, hematomas, fat necrosis, and suture dehiscence.

Conclusions:

The results obtained by using the inferior areolar complex in reduction mammoplasty proved, in my personal casuistry, to be similar to those found in the existing literature, with regard to complications and aesthetic outcomes. With this technique, the sensitivity and vascularization of the nipple-areola complex can be properly maintained, thus resulting in low complication rates. Moreover, it can also be used in medium-breast hypertrophy, mastopexy procedures, and silicone implant placement.

Keywords:
Mammoplasty; Plastic surgery; Reconstructive surgical procedures.