Additional Comments About “Commentary on: Supero-Septum Pedicle Mammaplasty: A New Modification for Reduction Mammaplasty”

Response to “The Supero-Septum Pedicle Mammaplasty: How Does It Perform?”

“…We thank Dr Swanson 1 for his interest in our study. 2 , 3 Dr Swanson has comparatively mentioned the before and after photos of the Supero-Septum Pedicle Mammaplasty (SSPM) technique ( Figure 1 ) and the prevalent vertical technique ( Figure 2 ) at the beginning of the discussion. 1 As acknowledged in our study 2 and frequently described by masters of mammaplasty, 4-6 the outcome of mammaplasty is not solely dependent on surgical technique, although it is one of the significantly effective factors.…”

“…The author mentions, “Sutures anchoring breast tissue to the pectoralis fascia have been shown to be ineffective.” 1 As we explained in the article, 3 our sutures in mammaplasty are not meant to move the breast cephalically, and we do not expect the sutures to do so. We totally agree that we cannot push the tissue up by means of sutures.…”

“…This has 2 goals: (1) decreasing lateral fullness, and (2) keeping the upper-pole tissue in place. As this tongue is not in an antigravity position, it will not descend over time.” 3 …”