title: Thinning of the medial pedicle in reduction mammoplasty.
abstract: BACKGROUND
  Modifications of reduction mammoplasty techniques are still evolving.
  
  
  OBJECTIVE
  To evaluate a clinical modification using a thin medial pedicle in reduction mammoplasty.
  
  
  METHODS
  Thirty-two patients (64 breasts) that underwent ultrathin medial pedicle reduction mammoplasty were included.
  
  
  RESULTS
  One patient had nipple areola complex (NAC) necrosis. Partial wound dehiscence occurred in five patients and transient wound pigmentation in two patients.
  
  
  CONCLUSIONS
  The medial pedicle can be used in ultrathin pattern without compromising NAC viability during reduction mammoplasty. This modification adds more flexibility in medial pedicle breast reduction procedure, especially when large reductions are needed in gigantomastia.
authors: Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain-Shams University , Cairo , Egypt.
authors: Hosam
authors: H
authors: Aboelatta
authors: Yasser Abdallah
authors: YA
authors: Aboelatta
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications; D013524:Surgical Flaps; D055815:Young Adult
keywords: gigantomastia; medial pedicle; nipple areola necrosis; nipple areola vascularity; reduction mammoplasty