Inferior Pedicle Reduction Mammoplasty: Poor Result Due to a Large Defect
The 41-year-old patient had a prior history of tumorectomy for a small intraductal carcinoma in situ (DCIS) low grade in the axillary quadrants of both breasts. No postoperative radiation therapy was done. Follow-up mammography after 3 years revealed microcalcifications suspicious for recurrent DCIS in both upper outer quadrants, and this was confirmed by vacuum needle biopsy. Bilateral tumor quadrantectomy with an inferior pedicle technique was planned. The breast was of small size and moderate ptosis and already revealed some tissue deficiency in the upper outer quadrants (Fig. 31.1a–c).