Superomedial pedicle reduction mammaplasty: increased resection weight does not increase nipple necrosis

Brownlee, Pamela; Chesire, David J.; Crandall, Marie; Murray, John D.

doi:10.1016/j.jss.2017.05.114

Cited by 11 publications

(9 citation statements)

References 32 publications

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“…Our Results match with results of Kim et al (12) and Brownlee et al (13) who trusted that SMP breast reduction procedure demonstrates a low rate of postoperative Complications.…”

Section: Discussionsupporting

confidence: 92%

“…In this study, there was no difference in the breast sensation comparing to other breast reduction techniques and this was supported by findings of Kim et al (12) and Brownlee et al (13), who concluded that the SMP have a general rate of NAC necrosis like all other ordinarily utilized pedicles.…”

Section: Discussionsupporting

confidence: 85%

“…Brownlee et al (13) found mean resection weight per breast was 1016.7gm with range 77-2469 gm. These differences may be due to the fact that rest of our cases had heavy breasts than his report.…”

Section: Discussionmentioning

confidence: 98%

See 2 more Smart Citations

Breast Reduction with a Superomedial Pedicle (Hall-Findlay’s Technique): Zagazig University Hospital Experience

El-Latif¹,

El-Al²,

Ali³

et al. 2019

Zagazig University Medical Journal

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Background: Breast reduction remains a commonly performed operation, with more than 122,000 breast reductions performed in 2013 (American Society for Aesthetic Plastic Surgery (2014). Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with the body and to alleviate the discomfort associated with excessively large breasts (macromastia). Aim of the study: was to evaluate the short-time outcome effects of superomedial pedicle using Hall-Findlay's technique of the breast reduction, to evaluate the effects on operative time, short-time outcome, the short-term effects and the complication rate of superomedial pedicle of the breast reduction. Methods: A total of 12 consecutive patients with bilateral breast hypertrophy underwent superomedial pedicle breast reduction in Plastic Surgery Unit, Zagazig University Hospital were included in this study during the year 2018. The operation was performed according to Hall-Findlay superomedial pedicle technique. All operations were performed by a double team of surgeons, with each team including a resident and a senior surgeon who was the leader of the operation. Results: Superomedial pedicle can be safely utilized in large size breast reduction without an expanded danger of NAC. Conclusions: The Hall-Findlay technique has aesthetic results and low complication rates in patients underwent breast reduction. We plan to expand the patient population that can undergo this technique, so more patients can benefit from its advantages.

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“…Our Results match with results of Kim et al (12) and Brownlee et al (13) who trusted that SMP breast reduction procedure demonstrates a low rate of postoperative Complications.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Breast Reduction with a Superomedial Pedicle (Hall-Findlay’s Technique): Zagazig University Hospital Experience

El-Latif¹,

El-Al²,

Ali³

et al. 2019

Zagazig University Medical Journal

View full text Add to dashboard Cite

show abstract

“…Moreover, the SMP technique procedures proved to be tendentially faster. Those results were attributed to decreased flap de-epithelialization, minimal superior flap creation or undermining, and single en bloc resection of breast parenchyma (5). In our series this was not statistically significant despite the presence of a strong trend.…”

Section: Discussioncontrasting

confidence: 51%

“…During the last few years, a growing interest for the supero-medial based pedicle (SMP) mammoplasty technique has been documented in literature and clinical practice. According to recent publications, in expert surgeon's hand, this technique may lead to a better cosmetic outcome (with less "bottoming out" and more medial breast fullness) maintained over time, shorter operative time, without an increased risk of NAC necrosis resulting in higher patient satisfaction (5).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of long-term breast shape in inferior versus superomedial pedicle reduction mammoplasty: a comparative study

et al. 2021

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Background: Among breast reduction mammoplasty, the inferior pedicle-based (IFP) technique is considered the most performed by plastic surgeons. A growing interest for the supero-medial based pedicle (SMP) mammoplasty technique has been documented in literature and clinical practice. However, no real evidence exists on the superiority of one technique over another.Methods: This study represents a retrospective multimodal analysis, using a prospectively maintained database, comparing wise pattern breast reduction techniques (IFP vs. SMP) over a 24-month follow-up.From January 2015 to July 2017, all patients undergoing wise pattern bilateral reduction mammoplasty, using either an IFP or a SMP technique, were included in the study and divided in two groups. Preoperative breast measurements included sternal notch-to-nipple distance (SN-N), infra-mammary fold to inferior border of Nipple Areolar Complex (NAC) distance length and ptosis. The same measurements were recorded at 2 weeks, 6 months and 24 months post-op. Complications were recorded and aesthetic outcomes were evaluated.Results: A total of 58 patients were included in the study, among which 36 (62%) were treated with a SMP technique and 22 (38%) with an IFP technique. At the 24-month follow-up timepoint, the SN-N distance was significantly shorter (*P<0.05) in the SMP group, with a significantly smaller elongation of the lower pole arc (29.5% increase in length in the SMP group and 40.9% in the IFP group). Aesthetic result gave significantly higher mean VAS score for SMP patients compared to IFP patients. Conclusions:The SMP technique provides stable and satisfactory results in term of breast shape, overcoming some of the major concerns related to the use of an IFP technique (lower pole elongation and ptosis recurrence), maintaining a superimposable complication rate.

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Principles for Pedicle Choice: Avoiding Vascular Compromise

Grant

Tenenbaum

et al. 2021

Managing Common and Uncommon Complications of Aesthetic Breast Surgery

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Superomedial pedicle reduction mammaplasty: increased resection weight does not increase nipple necrosis

Cited by 11 publications

References 32 publications

Breast Reduction with a Superomedial Pedicle (Hall-Findlay’s Technique): Zagazig University Hospital Experience

Breast Reduction with a Superomedial Pedicle (Hall-Findlay’s Technique): Zagazig University Hospital Experience

Evaluation of long-term breast shape in inferior versus superomedial pedicle reduction mammoplasty: a comparative study

Principles for Pedicle Choice: Avoiding Vascular Compromise

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