Superior Pedicle Reduction Mammoplasty and Defect Reconstruction Using an Inferior-Based Pedicle with a Skin Island
The 67-year-old woman was diagnosed with a 24 mm receptor-positive, HER2-neu-negative G2 carcinoma in the upper central quadrant of the left breast about 15 cm above the nipple (Fig. 22.1a, b). The tumor was fixed to the skin but not to the pectoralis major muscle. Preoperative chemotherapy or endocrine therapy to decrease the tumor in size has been discussed but was declined by the patient. The breast was ptotic and of large volume size with the left breast slightly smaller than the right breast (Fig. 22.1a, b).