The “Superior Ledge”: a Modification of the Standard Superomedial Pedicle Reduction Mammoplasty to Accentuate Nipple-Areola Complex Projection

Henderson, Peter W.; Chang, Michelle M.; Taylor, E. Stewart; Weinreb, Ross; Rohde, Christine

doi:10.1007/s00266-016-0687-9

Cited by 5 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An example is the preservation of various thicknesses of parenchyma on the upper pole, which can facilitate the inset of the NAC in its new position. 11 This can be decided either preoperatively or intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Modified Dissection of the Superomedial Pedicle

Fotiou

Savva

Vassiliou

2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: The superomedial pedicle is a widely used technique in mammaplasty, with various modifications formed over the years. This technique is often used in patients requiring major reduction in size, and optimization of the steps involved in the technique during the operation is of utmost importance to the plastic surgeon. Methods: We included 27 female patients who underwent mammaplasty between January 2018 and December 2020, with the modified superomedial pedicle technique. The technique of dissection is described in detail, by changing some of the steps of the pedicle dissection. We then assessed for patient satisfaction, complication rate, and operative duration, compared with a control group of 27 patients who underwent superomedial pedicle mammaplasty without the modification. Result: The use of this technique resulted in major reduction in operative time, with a similar complication rate and a high satisfaction rate among the patients. Conclusion: By changing some of the steps in the dissection of the superomedial pedicle, the surgeon can achieve optimal results and safety, with major gain in operative time reduction and surgical flexibility.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Afterward, the extent of reduction of tissue from the lateral pillars and above the inframammary fold is decided (Figs. [5][6][7][8][9][10][11]. Optionally, a portion of tissue from the upper pole can be retained and de-epithelialized accordingly, especially in cases of unilateral symmetrization.…”

Section: Techniquementioning

confidence: 99%

A Modified Dissection of the Superomedial Pedicle

Fotiou

Savva

Vassiliou

2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…All patients with benign macromastia underwent a superomedial pedicle, Wise pattern, superior ledge breast reduction with an inverted-V pattern at the T point, as described previously. 12,13 The superomedial pedicle was also preferred for oncoplastic breast reduction patients, but the pedicle position was ultimately determined by the location and extent of resection. It is our practice to forego breast reduction for benign macromastia in patients who are active smokers.…”

Section: Methodsmentioning

confidence: 99%

Comparing Outcomes after Oncoplastic Breast Reduction and Breast Reduction for Benign Macromastia

Marano

Grover

Peysakhovich

et al. 2022

Plastic &Amp; Reconstructive Surgery

Self Cite

View full text Add to dashboard Cite

Background: Oncoplastic breast reconstruction improves cosmetic outcomes when compared to standard breast conservation therapy alone. The authors studied whether tailoring a breast reduction to a cancer resection affects complication rates by comparing (1) outcomes between oncoplastic and benign macromastia patients and (2) complication rates between the cancer side and the symmetrizing side of an oncoplastic reduction. Methods: A retrospective chart review was performed on female patients who underwent either oncoplastic or benign breast reduction over 9 years by a single surgeon. Patient demographics, intraoperative data, and postoperative outcomes were gathered from the electronic medical record. Chi-square and t tests were performed when appropriate to determine significance. Results: Of the 211 patients included in the study, 62 (29.4 percent) underwent oncoplastic breast reduction and 149 (70.6 percent) underwent breast reduction for benign macromastia. Total resection weight was greater in the benign group (p = 0.00). There was a higher rate of loss of nipple sensation in the oncoplastic group (p = 0.005) but no differences in any other complication. There was a higher complication rate in the oncologic breast when compared to the symmetrizing breast within the oncoplastic cohort (p = 0.039), but no differences in the rates of individual complications. Conclusions: Although the loss of nipple sensation was increased in patients undergoing oncoplastic breast reduction, all other outcomes were not significantly different between the two groups. The authors’ findings indicate that oncoplastic breast reduction can be performed with a safety profile similar to that of a standard breast reduction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

show abstract

Expanding Usage of Superior Pedicled Techniques with Reducing Resistance in the Pedicle by Lipoaspiration

Sağır

Güven

2023

Aesth Plast Surg

View full text Add to dashboard Cite

The “Superior Ledge”: a Modification of the Standard Superomedial Pedicle Reduction Mammoplasty to Accentuate Nipple-Areola Complex Projection

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 5 publications

References 20 publications

A Modified Dissection of the Superomedial Pedicle

A Modified Dissection of the Superomedial Pedicle

Comparing Outcomes after Oncoplastic Breast Reduction and Breast Reduction for Benign Macromastia

Expanding Usage of Superior Pedicled Techniques with Reducing Resistance in the Pedicle by Lipoaspiration

Contact Info

Product

Resources

About