Fig. 1
Fig. 1
What is the best pedicle for breast lifting or breast reduction?
It seems that every pedicle type imaginable has been tried and everyone tends to have their favorite (Fig. 1). In general, this does imply an overall robust blood supply to the breast. However, it would be nice to know without a doubt which technique offers the best blood supply to the nipple areolar complex (NAC), best nerve supply and gives the most aesthetic breast shape and long-term stability. The problem is that there are hundreds of general articles on this topic but few are well done on specific blood supply volumes and how it relates to final breast lifting or breast reduction results.
For years, many believed that a sternal notch to nipple distance of greater than 30cm was an indication for a free nipple graft. A careful inferior pedicle proved that it could be used for SN-N distances of greater than 40cm with very low ischemic issues, but this technique has problems with ‘bottoming out’ of the inferior pole of the breast over time.
Romanian tennis star Simona Halep, the junior French Open champ of 2008, said that she plans to undergo breast reduction surgery later this year.
