title: Superior and superomedial pedicle wise-pattern reduction mammaplasty: maximizing cosmesis and minimizing complications.
abstract: Our center has refined a wise-pattern superior and superomedial pedicle breast reduction technique with predictable quality outcomes giving high patient satisfaction and a very low complication or revision rate. Fifty patients who underwent bilateral superior or superomedial pedicle wise-pattern breast reduction were included in the study. Demographic and perioperative data were collected, as were details of complications. A 21-item postal questionnaire was used to evaluate satisfaction with outcome parameters. The superomedial pedicle technique was used in 86% reductions, and the superior pedicle in 14%, and the mean weight removed from the breasts was 778 g (range, 244-1766 g). Mean patient satisfaction with outcome parameters, as well as maintenance of shape was excellent, as were mean improvements in symptoms of macromastia. No patient required a revision procedure. Superior and superomedial pedicle wise-pattern scar reduction mammaplasty with the technique presented predictably gives excellent results and patient satisfaction, with long-term preservation of shape.
authors: Department of Plastic, Reconstructive and Burns Surgery, Nottingham City Hospital, Nottingham.
authors: Stephen J
authors: SJ
authors: McCulley
authors: Mark V
authors: MV
authors: Schaverien
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000517:prevention & control; D005260:Female; D006801:Humans; D006984:Hypertrophy; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation / Q000706:statistics & numerical data; D013524:Surgical Flaps; D011795:Surveys and Questionnaires; D016896:Treatment Outcome