[Vertical reduction mammaplasty with wide superior pedicle].
OBJECTIVE
To report the reduction mammaplasty with vertical incision and superior wide pedicle.


METHODS
Typical Lejour mosque-dome design was performed. The inferior part of glandular tissue and skin were excised. The nipple-and-areola complex (NAC) was elevated to normal position with superior wide pedicle. The breast morphology was modified with vertical scar left.


RESULTS
46 patients were treated. 4 patients had unilateral breast reduction. 14 breasts had wound dehiscence. 3 breasts received debridement, others were treated conservatively with dressings. No complete NAC necrosis occurred.


CONCLUSIONS
The reduction mammaplasty with vertical incision and superior wide pedicle is a safe and effective method with a low risk of NAC necrosis.
Qi
Fa-zhi
FZ
Department of Plastic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Zhang
Yong
Y
Gu
Jian-ying
JY
Feng
Zi-hao
ZH
Yang
Zhen
Z
Shi
Yue-dong
YD
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D055815:Young Adult