“Reduction mammaplasty with superomedial pedicle technique: A literature review and retrospective analysis of 938 consecutive breast reductions”

Bauermeister, A; Gill, Kiranjeet; Zuriarrain, Alexander; Earle, Steven A.; Newman, Martin

doi:10.1016/j.bjps.2018.12.004

Cited by 47 publications

(48 citation statements)

References 76 publications

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“…The complication rates in our study were lower than those in other published complication rates associated with SMP use (20). Four previous studies have compared the two techniques and provided individual complication rates (20)(21)(22)(23).…”

Section: Discussioncontrasting

confidence: 62%

“…In previous studies, higher complication risks were found patients with high BMI, excessive tissue resection weight, and long SNnipple distance (20,22,24,29). In other studies, the complication rate related to the patient's age and tobacco use did not increase (25,30).…”

Section: Discussionmentioning

confidence: 79%

“…In 17 cases selected from 1987 to 2019, complications related to the superomedial technique were discussed. The mean complication rate ranged from 16.9% to 43% (20). Twenty publications have discussed complications associated with the use of the inferior pedicle technique.…”

Section: Discussionmentioning

confidence: 99%

“…Twenty publications have discussed complications associated with the use of the inferior pedicle technique. The average complication rate ranged from 29.7% to 71% (20).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Factors Related to Postoperative Complications in Patients Who Underwent Reduction Mammoplasty

Toplu¹,

Altınel²,

Serin³

2021

EJBH

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Objective: This study aimed to investigate whether there was an increase in the number of postoperative complications in patients undergoing reduction mammoplasty depending on the technique used (i.e., pedicle type, skin incision pattern), existence of concomitant diseases, and presence of other risk factors.Materials and Methods: A total of 186 patients who underwent breast reduction between 2013 and 2018 (bilateral, n = 170; unilateral, n = 16) were included in the study. A retrospective review of the data of patients who underwent reduction mammoplasty, which was performed by the same surgical team in a single institution over a 6-year period, was carried out. Superomedial, superior, and inferior pedicles were used in 99, 55, and 32 patients, respectively. The median follow-up period was 4 years. Results:The median patient age was 45 (range: 16-75) years. The median total reduction weight was 2,194 (range: 80-4,800) grams. The median distance between the sternal notch and nipple was 31 cm (range: 24-45 cm) for the right breast and 30 cm (range: 22-45 cm) for the left breast. The overall complication rate was 6.9%. The complication rates in patients with and without any concomitant diseases were 10.2% and 4.6%, respectively. The overall complication rate was significantly higher in patients with smoking habit, accessory breasts, progesterone use, cerebrovascular disease, morbid obesity (Body Mass Index ≥40 kg/m 2 ), and thalassemia. Conclusion:Our analysis shows that the presence of concomitant diseases increases the risk for postoperative complications in patients who underwent reduction mammoplasty. Our findings do not suggest that any of the techniques have significant superiority to each other in terms of pedicle safety and overall complication rate.

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Section: Discussioncontrasting

confidence: 62%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

“…Twenty publications have discussed complications associated with the use of the inferior pedicle technique. The average complication rate ranged from 29.7% to 71% (20).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Factors Related to Postoperative Complications in Patients Who Underwent Reduction Mammoplasty

Toplu¹,

Altınel²,

Serin³

2021

EJBH

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“…Since then, the technique has been demonstrated to be both reliable and safe (16). According to a recent literature review (17), complication rates associated with the use of the superomedial pedicle were lower than those associated with the use of the inferior pedicle (16% vs. 29.7%). Predisposing factors which increased complication rates when performing superomedial reduction mammoplasty included a SN-N distance >35.5 cm, ptosis grade of 3, breast reduction weight >800 g, and BMI >30 (18,19).…”

Section: Discussionmentioning

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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Managing Significant Loss of Skin and Nipple Compromise in Breast Reductions

Mendoza¹,

Hsieh²,

Joshi³

et al. 2021

Managing Common and Uncommon Complications of Aesthetic Breast Surgery

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“Reduction mammaplasty with superomedial pedicle technique: A literature review and retrospective analysis of 938 consecutive breast reductions”

Cited by 47 publications

References 76 publications

Evaluation of Factors Related to Postoperative Complications in Patients Who Underwent Reduction Mammoplasty

Evaluation of Factors Related to Postoperative Complications in Patients Who Underwent Reduction Mammoplasty

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

Managing Significant Loss of Skin and Nipple Compromise in Breast Reductions

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