title: Long Term Follow up and Patient Satisfaction after Reduction Mammoplasty: Superomedial versus Inferior Pedicle.
abstract: BACKGROUND
  Surgery for hypertrophied breast represents a challenge for plastic surgeons. The search for a good cosmetic breast has led to the development of many techniques. Objectives for reduction mammoplasty are to achieve elevated, symmetrical breasts, with round shape, good projection, small cicatrices that are not very perceptible, and a lasting result.
  
  
  METHODS
  This study was carried out on 60 cases who had done reduction mammoplasty from January 2009 to December 2014. All patients were examined and asked for late post-operative results and overall patients' satisfaction.
  
  
  RESULTS
  Long term projection and contour of the breast were more satisfactory among patients who had superomedial pedicle with a statistical significant difference. No statistical significant difference was observed between patients undergone either types of operations concerning breast symmetry, nipple symmetry and sensation. The mean score of satisfaction was higher among patients undergone superomedial pedicle than inferior pedicle.
  
  
  CONCLUSIONS
  The superomedial pedicle shows better long term cosmetic result in reduction mammoplasty.
authors.affiliation: Plastic Surgery Department, Faculty of Medicine, Assiut University, Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Makboul
authors.affiliation: Plastic Surgery Department, Faculty of Medicine, Aswan University, Egypt.
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Abdelhamid
authors.affiliation: Public Health and Community Medicine Department, Faculty of Medicine, Assiut University, Egypt.
authors.forename: Ghada
authors.initials: G
authors.lastname: Al-Attar
keywords: Inferior pedicle; Patients’ satisfaction; Reduction mammoplasty; Superomedial pedicle