Partial Breast Reconstruction: Inferior Pedicle Techniques

  • Albert LoskenEmail author


The inferior pedicle reduction mammoplasty technique is a very reliable and versatile technique for the immediate reconstruction of lumpectomy defects. It is a common reduction technique that is easy to learn and can be applied in the oncoplastic reduction approach for a tumor defect in almost any location other than pure inferior. The complication rates are favorable, and aesthetic results are predictable in well-selected patients. The decision process, surgical technique, and appropriate postoperative protocols are all discussed.

Supplementary material

Video 30.1.

(MP4 287215 kb)


  1. 1.
    Losken A, Hamdi M (2009) Partial breast reconstruction: current perspectives. Plast Reconstr Surg 124(3):722–736CrossRefGoogle Scholar
  2. 2.
    Munhoz AM, Montag E, Arruda EG et al (2006) Critical analysis of reduction mammaplasty techniques in combination with conservative breast surgery for early breast cancer treatment. Plast Reconstr Surg 117(4):1091–1107CrossRefGoogle Scholar
  3. 3.
    Losken A, Styblo TM, Carlson GW, Jones G, Amerson B (2007) Management algorithm and outcome evaluation of partial mastectomy defects treated using reduction or mastopexy techniques. Ann Plast Surg 59(3):235CrossRefGoogle Scholar
  4. 4.
    Rohrich RJ, Gosman AA, Brown SA, Reisch J (2006) Mastopexy preferences: a survey of board-certified plastic surgeons. Plast Reconstr Surg 118:1631CrossRefGoogle Scholar
  5. 5.
    Kronowitz SJ, Hunt KK, Kuerer HM et al (2007) Practical guidelines for repair of partial mastectomy defects using the breast reduction technique in patients undergoing breast conservation therapy. Plast Reconstr Surg 120:1755CrossRefGoogle Scholar
  6. 6.
    Ribeiro L, Affonso A, Affonso B et al (2002) Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties. Plast Reconstr Surg 110(3):960–970CrossRefGoogle Scholar
  7. 7.
    Miller AR, Brandao G, Prihoda TJ et al (2004) Positive margins following surgical resection of breast carcinoma: analysis of pathologic correlates. Am J Surg 187(5):647–650CrossRefGoogle Scholar
  8. 8.
    Song J, Styblo TM, Calrson G, Losken A (2010) The use of oncoplastic reduction techniques to reconstruct partial mastectomy defects in women with ductal carcinoma in situ. Breast J 16(2):141CrossRefGoogle Scholar
  9. 9.
    Losken A, Schaefer TG, Newell MS, Styblo TM (2009) The impact of oncoplastic breast reduction on postoperative cancer surveillance. Plast Reconstr Surg 124(1):9–17CrossRefGoogle Scholar
  10. 10.
    Asgeursson KS, Rasheed T, McCulley SJ, Macmillan RD (2005) Oncological and cosmetic outcomes of oncoplastic breast conserving surgery. Eur J Surg Oncol 31(8):817–823CrossRefGoogle Scholar
  11. 11.
    Losken A, Hart AM, Dutton W, Broeker JS, Styblo TM, Carlson GW (2018) The expanded use of auto-augmentation techniques in oncoplastic breast surgery. Plast Reconstr Surg 141(1):10–19CrossRefGoogle Scholar
  12. 12.
    Losken A, Hart AM, Broeker JS, Styblo TM, Carlson GW (2017) Oncoplastic breast reduction technique and outcomes: an evolution over 20 years. Plast Reconstr Surg 139(4):824e–833eCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Emory Division of Plastic and Reconstructive SurgeryAtlantaUSA

Personalised recommendations