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Superomedial Pedicle Vertical Breast Reduction

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Abstract

The “vertical” type of breast reduction was a term that was initially used for any short scar technique that included a scar both around the areola as well as a vertically but avoided the often unsightly and long inframammary scar. Concepts and principles have advanced now (see Chap. 2), and we realize that it is far more than just about a shorter scar.

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References

  1. Palmer JH, Taylor GI. The vascular territories of the anterior chest wall. Br J Plast Surg. 1986;39:287–99.

    Article  CAS  PubMed  Google Scholar 

  2. Van Deventer PV. The blood supply to the nipple-areolar complex of the human mammary gland. Aesthet Plast Surg. 2004;27:393–8.

    Article  Google Scholar 

  3. Mon O’Dey D, Prescher A, Pallua N. Vascular reliability of nipple areola complex-bearing pedicles: an anatomical microdissection study. Plast Reconstr Surg. 2007;119:1167.

    Article  CAS  Google Scholar 

  4. Hall-Findlay EJ. Aesthetic breast surgery, concepts and techniques. St. Louis: Quality Medical; 2010.

    Book  Google Scholar 

  5. Arie G. Una nueva tecnica de mastoplastia. Rev Iber Latino Am Cir Plast. 1957;3:28.

    Google Scholar 

  6. Skoog T. A technique of breast reduction—transposition of the nipple on a cutaneous vascular pedicle. Acta Chir Scand. 1963;126:453–65.

    CAS  PubMed  Google Scholar 

  7. Pitanguy I. Surgical correction of breast hypertrophy. Br J Plast Surg. 1967;20:78.

    Article  CAS  PubMed  Google Scholar 

  8. Lassus C. A technique for breast reduction. Int Surg. 1970;53:69.

    CAS  PubMed  Google Scholar 

  9. McKissock PK. Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg. 1972;49:245–52.

    Article  CAS  PubMed  Google Scholar 

  10. Wiener DL, Aiache AE, Silver L, Tittiranonda T. A single dermal pedicle for nipple transposition in subcutaneous mastectomy, reduction mammaplasty or mastopexy. Plast Reconstr Surg. 1973;51:115.

    Article  Google Scholar 

  11. Robbins TH. A reduction mammaplasty with the areola-nipple based on an inferior pedicle. Plast Reconstr Surg. 1977;59:64–7.

    Article  CAS  PubMed  Google Scholar 

  12. Courtiss EH, Goldwyn RM. Reduction mammaplasty by the inferior pedicle technique. An alternative to free nipple and areola grafting for severe macromastia or extreme ptosis. Plast Reconstr Surg. 1977;59:500.

    Article  CAS  PubMed  Google Scholar 

  13. Marchac D, de Olarte G. Reduction mammaplasty and correction of ptosis with a short inframammary scar. Plast Reconstr Surg. 1982;69:45–55.

    Article  CAS  PubMed  Google Scholar 

  14. Nicolle F. Improved standards in reduction mammaplasty and mastopexy. Plast Reconstr Surg. 1982;69(3):453–9.

    Article  CAS  PubMed  Google Scholar 

  15. Finger RE, Vasquez B, Drew GS, Given KS. Superomedial pedicle technique of reduction mammaplasty. Plast Reconstr Surg. 1989;83:471.

    Article  CAS  PubMed  Google Scholar 

  16. Lejour M, Abboud M, Declety A, Kertesz P. Reduction des cicatrices de plastie mammaire: de l’ancre courte a la verticale. Ann Chir Plast Esthet. 1990;35:369.

    CAS  PubMed  Google Scholar 

  17. Strombeck JO. Reduction mammaplasty with horizontal pedicle technique. In: Noone RB, editor. Plastic and reconstructive surgery of the breast. Philadelphia: BC Decker; 1991. p. 195–206.

    Google Scholar 

  18. Robbins LB, Hoffman DK. The superior dermoglandular pedicle approach to breast reduction. Ann Plast Surg. 1992;29:211–6.

    Article  CAS  PubMed  Google Scholar 

  19. Asplund O, Davies DM. Vertical scar breast reduction with medial flap or glandular transposition of the nipple-areola. Br J Plast Surg. 1996;49:507–14.

    Article  CAS  PubMed  Google Scholar 

  20. Hammond DC. Short scar periareolar inferior pedicle reduction (SPAIR) mammaplasty. Plast Reconstr Surg. 1999;103:890.

    Article  CAS  PubMed  Google Scholar 

  21. Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg. 1999;104:748.

    Article  CAS  PubMed  Google Scholar 

  22. Blondeel PN, Hamdi M, Van de Sijpe KA, Van Landuyt KHI, Thiessen FEF, Monstrey SJM. The latero-central glandular pedicle technique for breast reduction. Br J Plast Surg. 2003;56:348.

    Article  PubMed  Google Scholar 

  23. Lista F, Ahmad J. Vertical reduction mammaplasty: a 15 year experience including a review of 250 consecutive cases. Plast Reconstr Surg. 2006;117:2152.

    Article  CAS  PubMed  Google Scholar 

  24. Blondeel P, Hijjawi J, Depypere H, Roche N, Van Landuyt K. Shaping the breast in aesthetic and reconstructive breast surgery: an easy three-step principle. Plast Reconstr Surg. 2009;123(2):455–62.

    Article  CAS  PubMed  Google Scholar 

  25. Hall-Findlay EJ. The three breast dimensions: analysis and effecting change. Plast Reconstr Surg. 2010;125(6):1632–42.

    Article  CAS  PubMed  Google Scholar 

  26. Penn J. Breast reduction. Br J Plast Surg. 1955;7:357–71.

    Article  CAS  PubMed  Google Scholar 

  27. Smith DJ, Palin WE, Katch VL. Breast volume and anthropomorphic measurements: normal values. Plast Reconstr Surg. 1986;78:331–5.

    Article  PubMed  Google Scholar 

  28. Westreich M. Anthropomorphic breast measurement: protocol and results in 50 women with aesthetically perfect breasts and clinical application. Plast Reconstr Surg. 1997;100:468–79.

    Article  CAS  PubMed  Google Scholar 

  29. Brink RR. Evaluating breast parenchymal maldistribution with regard to mastopexy and augmentation mammaplasty. Plast Reconstr Surg. 1990;86(4):715–9.

    Article  CAS  PubMed  Google Scholar 

  30. Hsia HC, Thomson JG. Differences in breast shape preferences between plastic surgeons and patients seeking breast augmentation. Plast Reconstr Surg. 2003;112:312–20.

    Article  PubMed  Google Scholar 

  31. Rohrich RJ, Smith PD, Marcantonio DR, Kenkel JM. The zones of adherence: role in minimizing and preventing contour deformities in liposuction. Plast Reconstr Surg. 2001;107:1562–9.

    Article  CAS  PubMed  Google Scholar 

  32. Ribeiro L. Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties. Plast Reconstr Surg. 2002;110(3):960–70.

    Article  PubMed  Google Scholar 

  33. Swanson E. A retrospective photometric study of 82 published reports of mastopexy and breast reduction. Plast Reconstr Surg. 2011;128:1282–301.

    Article  CAS  PubMed  Google Scholar 

  34. Graf R, Auersvald A, Bernardes A, Biggs TM. Reduction mammaplasty and mastopexy with shorter scar and better shape. Aesthet Surg J. 2000;20:99–106.

    Article  Google Scholar 

  35. Wuringer E. Refinement of the central pedicle breast reduction by application of the ligamentous suspension. Plast Reconstr Surg. 1999;103:1400–10.

    Article  CAS  PubMed  Google Scholar 

  36. Hamdi M, Van Landuyt K, Tonnard P, Verpaele A, Monstrey S. Septum based mammaplasty: a surgical technique based on Wuringer’s septum for breast reduction. Plast Reconstr Surg. 2009;123:443.

    Article  CAS  PubMed  Google Scholar 

  37. Hall-Findlay EJ. Pedicles in vertical reduction and mastopexy. Clin Plast Surg. 2002;20:379–91.

    Article  Google Scholar 

  38. Hamdi M, Hall-Findlay EJ. Pedicle choices in breast reduction. In: Hamdi M, Hammond D, Nahai F, editors. Vertical scar mammaplasty. Berlin: Springer; 2005.

    Chapter  Google Scholar 

  39. Schlenz I, Kuzbari R, Gruber H, Holle J. The sensitivity of the nipple-areola complex: an anatomic study. Plast Reconstr Surg. 2000;105:905–9.

    Article  CAS  PubMed  Google Scholar 

  40. Wise RJ. A preliminary report on a method of planning the mammaplasty. Plast Reconstr Surg (1946). 1956;17(5):367–75.

    Article  CAS  Google Scholar 

  41. Baroudi R, Ferreira C. Seroma: how to avoid it and how to treat it. Aesthet Surg J. 1998;18:439.

    Article  CAS  PubMed  Google Scholar 

  42. Pollock H, Pollock T. Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg. 2000;105:2583.

    Article  CAS  PubMed  Google Scholar 

  43. Nahas FX, Ferreira LM, Ghelfond C. Does quilting suture prevent seroma in abdominoplasty? Plast Reconstr Surg. 2007;119:1060.

    Article  CAS  PubMed  Google Scholar 

  44. Craig RDP, Sykes PA. Nipple sensitivity following reduction mammaplasty. Br J Plast Surg. 1970;23:165.

    Article  CAS  PubMed  Google Scholar 

  45. Schnur PL, Schnur DP, Petty PM, Hanson TJ, Weaver MS. Reduction mammaplasty: an outcome study. Plast Reconstr Surg. 1997;100:875.

    Article  CAS  PubMed  Google Scholar 

  46. Tairych GV, Kuzbari R, Rigel S, Todoroff BP, Schneider B, Deutinger M. Normal cutaneous sensibility of the breast. Plast Reconstr Surg. 1998;102:701–4.

    Article  CAS  PubMed  Google Scholar 

  47. Hamdi M, Greuse M, DeMey A, Webster MHC. A prospective quantitative comparison of breast sensation after superior and inferior pedicle mammaplasty. Br J Plast Surg. 2001;54:39–42.

    Article  CAS  PubMed  Google Scholar 

  48. Cruz-Korchin N, Korchin L. Vertical versus wise pattern breast reduction: patient satisfaction, revision rates, and complications. Plast Reconstr Surg. 2003;112:1573.

    Article  PubMed  Google Scholar 

  49. Schreiber JE, Girotto JA, Mofid MM, Singh N, Nahabedian MY. Comparison study of nipple-areolar sensation after reduction mammaplasty. Aesthet Surg J. 2004;24:320–3.

    Article  PubMed  Google Scholar 

  50. Schlenz I, Rigel S, Schemper M, Kuzbari R. Alteration of nipple and areola sensitivity by reduction mammaplasty: a prospective comparison of five techniques. Plast Reconstr Surg. 2005;115:743–54.

    Article  CAS  PubMed  Google Scholar 

  51. Spector JA, Kleinerman R, Culliford AT IV, Karp N. The vertical reduction mammaplasty: a prospective analysis of patient outcomes. Plast Reconstr Surg. 2006;117:374.

    Article  PubMed  Google Scholar 

  52. Spear SL, Howard MA. Evolution of the vertical reduction mammaplasty. Plast Reconstr Surg. 2003;112:855–68.

    Article  PubMed  Google Scholar 

  53. Hamdi M, Hall-Findlay EJ. Vertical reduction mammaplasty using the medial pedicle. In: Hamdi M, Hammond D, Nahai F, editors. Vertical scar mammaplasty. Berlin: Springer; 2005. p. 11–5.

    Chapter  Google Scholar 

  54. Hall-Findlay EJ. Reduction mammaplasty. In: Nahai F, editor. The art of aesthetic surgery. St. Louis: Quality Medical; 2005. p. 1951–2043. pp 59–73.

    Google Scholar 

  55. Hall-Findlay EJ. In: Spear SL, editor. Vertical breast reduction using the superomedial pedicle, surgery of the breast, principles and art. Philadelphia: Lippincott Williams and Wilkins; 2006. p. 1072–92.

    Google Scholar 

  56. Davison SP, Mesbahi AN, Ducic I, Sarcia M, Dayan J, Spear S. The versatility of the superomedial pedicle and various skin reduction patterns. Plast Reconstr Surg. 2007;120:1466–76.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Private practice, Banff Plastic Surgery, 340-317 Banff Av., PO Box 2009, Banff, AB, Canada, T1L 1B7

    Elizabeth Hall-Findlay

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  1. Elizabeth Hall-Findlay
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Correspondence to Elizabeth Hall-Findlay .

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Editors and Affiliations

  1. Professor and Chairman, Department of Plastic and Reconstructive Surgery, Brussels University Hospital – Vrij Universiteit Brussel (VUB), Brussels, Belgium

    Moustapha Hamdi

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Hall-Findlay, E. (2018). Superomedial Pedicle Vertical Breast Reduction. In: Hamdi, M. (eds) Vertical Scar Mammaplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55451-7_7

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  • DOI: https://doi.org/10.1007/978-3-662-55451-7_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-55449-4

  • Online ISBN: 978-3-662-55451-7

  • eBook Packages: MedicineMedicine (R0)

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