eMedicine Specialties > Plastic Surgery > Breast

Breast Reduction, Inferior Pedicle: Follow-up

Author: Susan E Downey, MD, Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Southern California
Contributor Information and Disclosures

Updated: Aug 5, 2008

Outcome and Prognosis

Patients who undergo reduction mammoplasty are, in general, the most satisfied patients treated by plastic surgeons. They tend to experience immediate relief of their neck and shoulder pains. Even older patients, who have had heavy breasts for an extensive period of time, experience relief from their neck and shoulder pain.

A study published in 1999 found that the risk of breast cancer was not increased after breast reduction; in fact, the risk of developing breast cancer was significantly decreased after breast reduction.3

Future and Controversies

In general, the changes made in the techniques of reduction mammoplasty have been to shorten the lateral extension of the scar.4 Some surgeons now propose using just a vertical component, but this may leave a scar that descends onto the upper abdominal wall.

In general, the scars that result from this procedure heal very well. Care should be taken that the inferior scar is as short as possible to prevent it from extending either into the axillary area or medially, where it may be visible when wearing certain clothing or be more prone to keloid formation. Occasionally, some redundancy is present laterally to the breast area; this may require liposuction.

 


More on Breast Reduction, Inferior Pedicle

Overview: Breast Reduction, Inferior Pedicle
Workup: Breast Reduction, Inferior Pedicle
Treatment: Breast Reduction, Inferior Pedicle
Follow-up: Breast Reduction, Inferior Pedicle
Multimedia: Breast Reduction, Inferior Pedicle
References

References

  1. Blomqvist L, Eriksson A, Brandberg Y. Reduction mammaplasty provides long-term improvement in health status and quality of life. Plast Reconstr Surg. Oct 2000;106(5):991-7. [Medline].

  2. 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. Apr 1977;59(4):500-7. [Medline].

  3. Brown MH, Weinberg M, Chong N, et al. A cohort study of breast cancer risk in breast reduction patients. Plast Reconstr Surg. May 1999;103(6):1674-81. [Medline].

  4. Hidalgo DA, Elliot LF, Palumbo S, et al. Current trends in breast reduction. Plast Reconstr Surg. Sep 1999;104(3):806-15; quiz 816; discussion 817-8. [Medline].

  5. Bostwick J. Breast reduction. In: Bostwick J, ed. Aesthetic and Reconstructive Surgery. St. Louis, Mo: CV Mosby; 1983.

  6. Downey SE. Plastic surgery for common breast problems. In: Hindle WH, ed. Breast Care: A Clinical Guidebook for Women's Primary Health Care Providers. New York: Springer-Verlag; 1999.

  7. Goldwyn RM. Reduction mammoplasty in the unfavorable result. In: Goldwyn R, Cohen M, eds. Plastic Surgery Avoidance and Treatment. Philadelphia, Pa: Lippincott Williams & Wilkins; 2001.

  8. Hoffman S. Inferior pedicle technique. In: Spear S, ed. Breast Reduction in Surgery of the Breast: Principles and Art. Philadelphia, Pa: Lippincott-Raven; 1998.

  9. Ribeiro L. A new technique for reduction mammaplasty. Plast Reconstr Surg. Mar 1975;55(3):330-4. [Medline].

Further Reading

Keywords

breast reduction, reduction mammoplasty, inferior pedicle, heavy breasts, large breasts, nipple-areolar complex, NAC, nipple scar tissue, keloids, inframammary fold, IMF

Contributor Information and Disclosures

Author

Susan E Downey, MD, Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Southern California
Susan E Downey, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Medical Women's Association, American Society for Aesthetic Plastic Surgery, and American Society of Plastic Surgeons
Disclosure: Ethicon, Inc. Honoraria Consulting

Medical Editor

Pankaj Tiwari, MD, Assistant Professor, Division of Plastic Surgery, Ohio State University
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Saleh M Shenaq, MD†, Former Director and Founder, The International Brachial Plexus Institute; Former Chief, Section of Plastic Surgery, Methodist Hospital, Houston
Saleh M Shenaq, MD† is a member of the following medical societies: American Academy of Anti-Aging Medicine, American Academy of Pediatrics, American Association for Hand Surgery, American Association for the Advancement of Science, American Association of Plastic Surgeons, American Burn Association, American College of Physician Executives, American College of Surgeons, American Congress of Rehabilitation Medicine, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Reconstructive Microsurgery, American Society for Surgery of the Hand, American Society of Gene Therapy, American Society of Law Medicine and Ethics, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, American Trauma Society, Association for Academic Surgery, International College of Surgeons, Lipoplasty Society of North America, Plastic Surgery Research Council, Society for Neuroscience, Society of Surgical Oncology, Southern Medical Association, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Frederick J Menick, MD, Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Private Practice in Tucson, Arizona
Frederick J Menick, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic and Reconstructive Surgery, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons
Disclosure: none None None

 
 
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