title: [Vertical reduction mammaplasty with wide superior pedicle].
abstract: 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.
authors.affiliation: Department of Plastic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Fa-zhi
authors.initials: FZ
authors.lastname: Qi
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhang
authors.forename: Jian-ying
authors.initials: JY
authors.lastname: Gu
authors.forename: Zi-hao
authors.initials: ZH
authors.lastname: Feng
authors.forename: Zhen
authors.initials: Z
authors.lastname: Yang
authors.forename: Yue-dong
authors.initials: YD
authors.lastname: Shi
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D055815:Young Adult