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Breast Reduction, Inferior Pedicle: Follow-up
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.
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References
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].
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].
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].
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].
Bostwick J. Breast reduction. In: Bostwick J, ed. Aesthetic and Reconstructive Surgery. St. Louis, Mo: CV Mosby; 1983.
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.
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.
Hoffman S. Inferior pedicle technique. In: Spear S, ed. Breast Reduction in Surgery of the Breast: Principles and Art. Philadelphia, Pa: Lippincott-Raven; 1998.
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
Follow-up: Breast Reduction, Inferior Pedicle