Inferior Pedicle Breast Reduction Workup

  • Author: Susan E Downey, MD; Chief Editor: James Neal Long, MD, FACS   more...
 
Updated: Mar 28, 2012
 

Laboratory Studies

  • The patient should undergo a preoperative mammogram if she is older than 35 years. Blood is not usually required for this surgery; unless the patient is extremely large, transfusions are very rarely required.
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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 Society for Aesthetic Plastic Surgery, and American Society of Plastic Surgeons

Disclosure: Ethicon, Inc. Consulting fee Consulting; Mentor Co, Consulting fee Consulting

Specialty Editor Board

Pankaj Tiwari, MD  Assistant Professor, Division of Plastic Surgery, Ohio State University College of Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

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 & 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.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

James Neal Long, MD, FACS  Associate Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, Children's Hospital and Kirklin Clinics, University of Alabama at Birmingham School of Medicine; Chief of Plastic, Reconstructive, Hand, and Microsurgery, Birmingham Veterans Affairs Medical Center

James Neal Long, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Plastic Surgery Research Council, Sigma Xi, Southeastern Society of Plastic and Reconstructive Surgeons, and Southeastern Surgical Congress

Disclosure: Nothing to disclose.

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. Echo A, Guerra G, Yuksel E. The dermal suspension sling: shaping the inferior pedicle during breast reduction. Aesthetic Plast Surg. Aug 2011;35(4):608-16. [Medline].

  4. 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].

  5. 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].

  6. James A, Verheyden C. A retrospective study comparing patient outcomes of wise pattern-inferior pedicle and vertical pattern-medial pedicle reduction mammoplasty. Ann Plast Surg. Nov 2011;67(5):481-3. [Medline].

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

  8. 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.

  9. 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.

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

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

 
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Breast reduction. Markings and preoperative assessment. Used with permission from 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 New York Inc; 1999.
Breast reduction, inferior pedicle. Closure of incisions (top). Final position of incisions (bottom). Used with permission from 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 New York Inc; 1999.
Anatomy of the breast.
 
 
 
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