eMedicine Specialties > Plastic Surgery > Breast

Breast Reduction, Superior Pedicle: Workup

Author: James Neal Long, MD, Assistant Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, University of Alabama at Birmingham and Kirklin Clinics
Coauthor(s): Dean R Cerio, MD, Staff Physician, Department of Plastic Surgery, University of Alabama, Birmingham; Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Contributor Information and Disclosures

Updated: Sep 25, 2009

Workup

Laboratory Studies

  • Preoperative CBC and PT/aPTT are screening exams routinely used by the authors to establish preoperative adequacy of hematocrit and coagulation.

Imaging Studies

  • Mammograms should be ordered according to guidelines established by the National Cancer Institute, the American Cancer Society, and the American College of Radiology. Each of these organizations recommends annual mammograms for women over 40.

Other Tests

  • In women who have undergone gastric bypass surgery, investigations should be directed towards malnutritive states, which can impact protein synthetic function and, therefore, healing. In addition to CBC and PT/aPTT, prealbumin and albumin levels can be helpful (though not definitive) in establishing the absence of these problems. Other useful lab data include serum B12 and folate levels.

More on Breast Reduction, Superior Pedicle

Overview: Breast Reduction, Superior Pedicle
Workup: Breast Reduction, Superior Pedicle
Treatment: Breast Reduction, Superior Pedicle
Follow-up: Breast Reduction, Superior Pedicle
Multimedia: Breast Reduction, Superior Pedicle
References
[ CLOSE WINDOW ]

References

  1. Lassus C. Breast reduction: evolution of a technique--a single vertical scar. Aesthetic Plast Surg. 1987;11(2):107-12. [Medline].

  2. Arie G. Una nueva tecnica de mastoplastia. Rev Iber Latino Am Cir Plast. 1957;3:28.

  3. Pitanguy I. Surgical correction of breast hypertrophy. British Journal of Plastic Surgery. 1967;20:78.

  4. Weiner DL, Aiache AE, Silver L, Tittiranonda T. A single dermal pedicle for nipple transposition in subcutaneous mastectomy, reduction mammaplasty, or mastopexy. Plast Reconstr Surg. Feb 1973;51(2):115-20. [Medline].

  5. Orlando JC, Guthrie RH Jr. The superomedial dermal pedicle for nipple transposition. Br J Plast Surg. Jan 1975;28(1):42-5. [Medline].

  6. Hugo NE, McClellan RM. Reduction mammaplasty with a single superiorly-based pedicle. Plast Reconstr Surg. Feb 1979;63(2):230-4. [Medline].

  7. Arufe HN, Erenfryd A, Saubidet M. Mammaplasty with a single, vertical, superiorly-based pedicle to support the nipple-areola. Plast Reconstr Surg. Aug 1977;60(2):221-7. [Medline].

  8. Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg. Sep 1999;104(3):748-59; discussion 760-3. [Medline].

  9. Schlenz I, Kuzbari R, Gruber H, Holle J. The sensitivity of the nipple-areola complex: an anatomic study. Plast Reconstr Surg. Mar 2000;105(3):905-9. [Medline].

  10. Landau AG, Hudson DA. Choosing the superomedial pedicle for reduction mammaplasty in gigantomastia. Plast Reconstr Surg. Mar 2008;121(3):735-9. [Medline].

  11. Hauben DJ. Experience and refinements with the supero-medial dermal pedicle for nipple-areola transposition in reduction mammoplasty. Aesthetic Plast Surg. 1984;8(3):189-94. [Medline].

  12. Finger RE, Vasquez B, Drew GS, Given KS. Superomedial pedicle technique of reduction mammaplasty. Plast Reconstr Surg. Mar 1989;83(3):471-80. [Medline].

  13. Davison SP, Mesbahi AN, Ducic I, Sarcia M, Dayan J, Spear SL. The versatility of the superomedial pedicle with various skin reduction patterns. Plast Reconstr Surg. Nov 2007;120(6):1466-76. [Medline].

  14. Choi M, Unger J, Small K, Tepper O, Kumar N, Feldman D, et al. Defining the kinetics of breast pseudoptosis after reduction mammaplasty. Ann Plast Surg. May 2009;62(5):518-22. [Medline].

  15. Conroy WC. Reduction mammaplasty with maximum superior subdermal vascular pedicle. Ann Plast Surg. Mar 1979;2(3):189-94. [Medline].

  16. Cruz-Korchin N, Korchin L. Breast-feeding after vertical mammaplasty with medial pedicle. Plast Reconstr Surg. Sep 15 2004;114(4):890-4. [Medline].

  17. de Araujo Cerqueira A. Mammoplasty: breast fixation with dermoglandular mono upper pedicle flap under the pectoralis muscle. Aesthetic Plast Surg. Jul-Aug 1998;22(4):276-83. [Medline].

  18. Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg. Sep 1999;104(3):748-59; discussion 760-3. [Medline].

  19. Hall-Findlay EJ. Pedicles in vertical breast reduction and mastopexy. Clin Plast Surg. Jul 2002;29(3):379-91. [Medline].

  20. Hauben D. Reduction mammoplasty using a superomedial dermal pedicle. In: Reduction Mammaplasty. Lippincott William & Wilkins; 1990:239-54.

  21. Lassus C. A 30-year experience with vertical mammaplasty. Plast Reconstr Surg. Feb 1996;97(2):373-80. [Medline].

  22. Malata CM, Bostwick II J. Breast reduction with the superior parenchymal pedicle: T-scar approach. Operative Techniques in Plastic and Reconstructive Surgery. 1999;6(2):126-135.

  23. Ohlsen L, Skoog V. Skoog's technique of reduction mammaplasty. In: Reduction Mammaplasty. Lippincott William & Wilkins; 1990:193-232.

  24. Reus WF, Mathes SJ. Preservation of projection after reduction mammaplasty: long-term follow-up of the inferior pedicle technique. Plast Reconstr Surg. Oct 1988;82(4):644-52. [Medline].

  25. Robbins LB, Hoffman DK. The superior dermoglandular pedicle approach to breast reduction. Ann Plast Surg. Sep 1992;29(3):211-6. [Medline].

  26. Rodier-Bruant C, Wilk A, Rosenstiel M, Nisand G, Meyer C. [Does the choice of mammoplasty pedicle influence the shape of reduced the reduced-sized breast?]. Ann Chir Plast Esthet. Aug 1995;40(4):404-11. [Medline].

  27. Thorek M. Possibilities in the reconstruction of the human form. N Y Med J. 1922;116:572.

  28. van der Meulen JC. Superomedial pedicle technique of reduction mammaplasty. Plast Reconstr Surg. Dec 1989;84(6):1005. [Medline].

  29. Weiner D. Breast reduction: The superior pedicle technique (dermal and composite). In: Reduction Mammaplasty. Lippincott William & Wilkins; 1990:233-8.

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

breast reduction, breast surgery, superior pedicle, breast reduction superior pedicle, reduction mammoplasty superomedial pedicle, reduction mammoplasty superior pedicle, breast reduction, nipple-areolar complex, NAC, Lejour, Hall-Findlay, Lassus

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

James Neal Long, MD, Assistant Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, University of Alabama at Birmingham and Kirklin Clinics
James Neal Long, MD 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.

Coauthor(s)

Dean R Cerio, MD, Staff Physician, Department of Plastic Surgery, University of Alabama, Birmingham
Disclosure: Nothing to disclose.

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

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: eMedicine Salary Employment

CME Editor

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

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.