Dermal suspension flaps for McKissock's vertical bipedicle flap vs. classical McKissock's technique: comparison of aesthetic results and patient satisfaction

McKissock’s Reduction Mammaplasty Revisited: A Case Series Study with 12-months Follow-up

“…These techniques can produce good immediate postoperative results; however, they cannot be kept for a long time. 12 – 14 The lateral pedicle described by Skoog 4 is less likely used due to the bulky lateral fullness it produces. The horizontal bipedicle technique has been described by Strombeck 5 but was also avoided, due to the same aesthetic reasons.…”

“…There are additional advantages of dermal suspension of the bipedicle, including the prevention of flat breasts appearance, while also decreasing the tension on the medial and lateral pillars of skin flaps, and thus enhancing the process of healing and minimizing scar formation. Menderes et al, 12 compared the McKissock’s technique with and without dermal suspension and found that the outcome was better with dermal suspension, due to the prevention of bottoming out of the inferior pole and the longest sustained aesthetic shape.…”

Accordion-style pedicle suspension in inferocentral pedicled mammoplasty

“…Widgerow [3] proposed weaving a rectangular dermal fascia flap prepared on the medial side of the pedicle into the pectoral musculature and fascia. Similar to Aydin et al [14], Menderes et al [17] concurred that in McKissock's vertical bipedicled flap technique, pedicle suspension with two triangular dermal flaps prepared from both sides of the pedicle decreased the occurrence of secondary ptosis in the reduced breasts. The literature lacks clear data regarding pseudoptosis following inferior pedicled breast reduction techniques which rely on pedicle suspension and plication.…”

The Three Dermoglandular Flap Support in Reduction Mammaplasty

“…8 through 10). 24,25,28,29 Thanks to the flaps' design, it was possible to have accurate control over the skin envelope and parenchyma shape, allowing both removal of a large amount of tissue and precise contouring of the breast. We found it to be fundamental to regulate the amount of breast tissue for preservation, which is the key to having a pleasant, balanced outcome (Figs.…”