eMedicine Specialties > Plastic Surgery > Breast

Breast Reduction, Superior Pedicle: Multimedia

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

Multimedia

Preoperative markings of a superomedial pedicle r...
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Media file 1: Preoperative markings of a superomedial pedicle reduction. Notice that the base of the pedicle is made wider for longer nipple transpositions.
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Preoperative markings of a superomedial pedicle r...

Preoperative markings of a superomedial pedicle reduction. Notice that the base of the pedicle is made wider for longer nipple transpositions.

Preoperative markings of a superior pedicle techn...
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Media file 2: Preoperative markings of a superior pedicle technique breast reduction.
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Preoperative markings of a superior pedicle techn...

Preoperative markings of a superior pedicle technique breast reduction.

Breast reduction, superior pedicle. The pedicle, ...
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Media file 3: Breast reduction, superior pedicle. The pedicle, now developed, is imbricated superiorly into the new NAC inset position.
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Breast reduction, superior pedicle. The pedicle, ...

Breast reduction, superior pedicle. The pedicle, now developed, is imbricated superiorly into the new NAC inset position.

Breast reduction, superior pedicle. The NAC is in...
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Media file 4: Breast reduction, superior pedicle. The NAC is into the new position. Vertical closure, no inframammary incision line. The lateral dimpling is from intraparenchymal pillar suturing and typically settles out completely within 6 weeks.
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Breast reduction, superior pedicle. The NAC is in...

Breast reduction, superior pedicle. The NAC is into the new position. Vertical closure, no inframammary incision line. The lateral dimpling is from intraparenchymal pillar suturing and typically settles out completely within 6 weeks.

Breast reduction, superomedial pedicle. Preoperat...
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Media file 5: Breast reduction, superomedial pedicle. Preoperative view of a 55-year-old woman with macromastia.
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Breast reduction, superomedial pedicle. Preoperat...

Breast reduction, superomedial pedicle. Preoperative view of a 55-year-old woman with macromastia.

Breast reduction, superomedial pedicle. Preoperat...
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Media file 6: Breast reduction, superomedial pedicle. Preoperative lateral view of a 55-year-old woman with macromastia.
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Breast reduction, superomedial pedicle. Preoperat...

Breast reduction, superomedial pedicle. Preoperative lateral view of a 55-year-old woman with macromastia.

Breast reduction, superomedial pedicle. 2 months ...
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Media file 7: Breast reduction, superomedial pedicle. 2 months postoperative view. Nipple-areolar complexes are sensate and viable. Note eliminated symmastia.
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Breast reduction, superomedial pedicle. 2 months ...

Breast reduction, superomedial pedicle. 2 months postoperative view. Nipple-areolar complexes are sensate and viable. Note eliminated symmastia.

Breast reduction, superomedial pedicle. 2 months ...
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Media file 8: Breast reduction, superomedial pedicle. 2 months postoperative lateral view.
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Breast reduction, superomedial pedicle. 2 months ...

Breast reduction, superomedial pedicle. 2 months postoperative lateral view.

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
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References

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  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].

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  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].

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  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.

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  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].

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Further Reading

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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

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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.

 
 
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