Background: There are significant changes in breast shape and contour during the 1 st post-operative year after any breast reduction technique. Our work was dedicated to study the post-operative changes and aesthetic outcome in the superior and medial pedicle vertical scar reduction mammoplasty techniques. Patients and Methods:The study was conducted on 20 female patients suffering from bilateral large breasts. They were divided equally into two groups using simple randomization. Group I (10 patients) were operated upon by superior pedicle (modified Le Jour) technique. Group II (10) patients were operated upon by medial pedicle (hall-findlay) technique. Patients were evaluated for esthetic outcomes. This was done through breast measurements and photographic analysis preoperatively, 1, 3 and 6 months post-operatively. Results:There is no significant difference between group I and group II regarding the pre-operative measurements and intra-operative scar length. However, a significant difference was present between both groups for all measurements except IMF level at 3 and 6 months post-operatively. There is no significant difference in the photographic analysis.Conclusion: Both techniques are aesthetically reliable with more bottoming out in findlay technique. Lower pole show is less in modified Lejour technique. Also, two new breast measurements were introduced.

Background: Electrodiagnostic studies had become a routine workup in the evaluation of carpal tunnel syndrome (CTS). The presence of a relatively considerable group of patients with positive clinical findings and negative electrodiagnostic studies constitutes a problem that faces plastic surgeons. In these group pf patients, the question remains whether to take them to surgery or not? The release of median nerve is the primary objective of surgical treatment. open approach is still one of the most preferred methods of release. This includes transverse carpal ligament release as well as antebrachial fascia. This observational prospective study includes a group of patients that undergone surgery for treatment of carpal tunnel syndrome with improved technique of release resulting in symptoms relief after 1 year following surgery. The results were analysed to correlate the agreement of electrodiagnostic studies and clinical findings in CTS as well as the benefit of the improved technique in management of carpal tunnel syndrome.