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Objectives: The aim of this study is to evaluate the superior pedicle technique in reduction mammoplasty of breast hypertrophy. Background: Breast reduction is a common aesthetic surgical procedure. It aims not only at bringing the size of the breast proportionate to the build of the individual, but also to decrease the discomfort caused by massive, ill-shaped and hanging breasts. The operative procedure reduces the breast tissue mass and enhances aesthetic appearance No technique has been shown to be superior. The superior pedicle technique preserves superior and medial breast fullness while providing appropriate resection of the breast parenchyma to reduce symptoms and produce a smaller, lifted breast with more youthful appearance. Patients and Methods: We performed a retrospective chart review of eighty (80) consecutive patients between September 2015 and October 2019. All the patients underwent bilateral breast reductions. Preoperative assessment including history, physical examination, breast ultrasound and mammography. Also preoperative breast measurements, mainly mid-clavicle point to NAC distance were taken. Standard breast photography was also carried out preoperative and 4 weeks postoperative. All patients were followed 1, 3 and 6 months postoperative for complications and patient satisfaction. Results: Patient's age ranged from 20 to 55 years old. About 71.3% of the patients complained of preoperative physical problems. The mean distance from mid-clavicle to nipple in our cases was 33.2 (19-39) cm. The mean length of nipple transposition was 13.2cm, ranging from 3 to 18cm. The mean weight of breast tissue resection was 924g, ranging from 190 to 1800g. The overall postoperative complications were 20%, in the form of T-junction wound dehiscence (10%), mild soft tissue infection (3.8%), asymmetry (2.5%), unilateral partial NAC necrosis (2.5%) and unilateral complete NAC necrosis (1.3%). 91.3% of the cases were satisfied, 5% acceptable and 3,8% dissatisfied regarding improvement of symptoms and size, shape and symmetry of the breasts. Conclusion: The superior pedicle technique is simple, safe and reliable technique in reduction mammoplasty with maintaining upper and medial fullness and giving good aesthetic results.

Superior Pedicle Reduction Mammoplasty: A Safe and Reliable Tecnique in Breast Hypertrophy