Internal pedicle shaping to improve aesthetic results in reduction mammaplasty.

摘要

Reduction mammaplasty has been performed using various techniques to achieve reduction in breast volume and to enhance aesthetic shape. The conventional inverted T-scar method is the most widely used technique in breast reduction because of its predictability and versatility. Nonetheless, newer surgical techniques have been developed to optimize outcome while minimizing associated complications. Pedicle types include inferior, central, superior, lateral, and bipedicle, all of which maintain the blood supply and innervation to the nipple-areola complex. Cosmetically acceptable placement of scars, although debated, has also been emphasized through additional technical modifications, including short scar periareolar inferior pedicle reduction mammaplasty, vertical mammaplasty without infra-mammary scar, or no vertical scar breast reduction.