Superior Pedicle Vertical Scar Mammaplasty: Surgical Technique
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I first tried the vertical reduction technique to minimize scars but have stayed with it because I saw improved results that hold up over time. It is my preferred method for breast reduction and mastopexy. Vertical scar techniques have not gained popularity in the United States as rapidly as in Europe and South America. The reluctance to abandon the Wise pattern in favor of the vertical reduction has been related to concerns over the safety of the superior pedicle and familiarity, satisfaction, and comfort level with the inferior pedicle and central mound techniques, which enjoy tremendous popularity in the United States. However, over the past few years, there has been greater interest in short-scar breast surgery in the United States with increasing application of the vertical techniques for reduction and mastopexy.
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