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Background: There are significant changes in breast shape and contour during the 1st post-operative year after any breast reduction technique. Our work was dedicated to study the post-operative changes and aesthetic outcome in the superior and medial pedicle vertical scar reduction mammoplasty techniques. Patients and Methods: The study was conducted on 20 female patients suffering from bilateral large breasts. They were divided equally into two groups using simple randomization. Group I (10 patients) were operated upon by superior pedicle (modified Le Jour) technique. Group II (10) patients were operated upon by medial pedicle (hall-findlay) technique. Patients were evaluated for esthetic outcomes. This was done through breast measurements and photographic analysis preoperatively, 1, 3 and 6 months post-operatively. Results: There is no significant difference between group I and group II regarding the pre-operative measurements and intra-operative scar length. However, a significant difference was present between both groups for all measurements except IMF level at 3 and 6 months post-operatively. There is no significant difference in the photographic analysis. Conclusion: Both techniques are aesthetically reliable with more bottoming out in findlay technique. Lower pole show is less in modified Lejour technique. Also, two new breast measurements were introduced.

egyptian journal of plastic and reconstructive surgery

A Comparative Study between Superior Pedicle (Modified Lejour) and Medial Pedicle (Findlay) Reduction Mammoplasty Technique from the Aesthetic Point of View