title: Accordion-style pedicle suspension in inferocentral pedicled mammoplasty.
abstract: OBJECTIVE
  In breast reduction surgery, while the primary objective may appear to be decreasing the breast volume, the ultimate goal is to achieve symmetrical, appealing, and sustainable breast cosmesis. To circumvent late-term ptosis following inferior pedicle mammoplasty, methods such as pedicle suspension to the ribs, support with dermal flaps and grafts, and the use of some alloplastic materials have been proposed. This paper presents a method of folding and fixing the inferocentral pedicle on itself and the underlying pectoral fascia.
  
  
  METHODS
  Inferocentral pedicled, inverted T-scar reduction mammoplasties were performed on 50 patients from June 2009 to June 2014. The inferocentral pedicle, which was kept narrow and long, instead of the conventional inferior-based pyramidal design, was folded over its de-epithelialised surfaces in an accordion fashion and sutured. The confection was then sutured to the pectoral fascia by its lateral and superior borders for long-term preservation of breast moulding.
  
  
  RESULTS
  In inferocentral breast reduction, the quest for a method that achieves appealing and lasting pyramidal breast shape continues.
  
  
  CONCLUSIONS
  This technique is regarded as a simple and effective method for achieving good short- and long-term results for patients being considered for moderate and advanced breast reduction.
authors.affiliation: a Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery , Ondokuz Mayis University , Samsun , Turkey.
authors.forename: Tekin
authors.initials: T
authors.lastname: Simsek
authors.affiliation: a Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery , Ondokuz Mayis University , Samsun , Turkey.
authors.forename: Murat Sinan
authors.initials: MS
authors.lastname: Engin
authors.affiliation: a Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery , Ondokuz Mayis University , Samsun , Turkey.
authors.forename: Asef
authors.initials: A
authors.lastname: Abdullayev
authors.affiliation: a Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery , Ondokuz Mayis University , Samsun , Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Kucuker
authors.affiliation: a Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery , Ondokuz Mayis University , Samsun , Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Demir
authors.affiliation: a Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery , Ondokuz Mayis University , Samsun , Turkey.
authors.forename: Lutfi
authors.initials: L
authors.lastname: Eroglu
mesh_terms: D000328:Adult; D000368:Aged; D001940:Breast / Q000473:pathology; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications
keywords: Breast reduction; breast moulding; inferocentral pedicled; mammoplasty; pedicle suspension