Breast reduction with the superior parenchymal pedicle: T-scar approach

Abstract

Breast reduction for macromastia is a highly efficacious procedure with a high degree of patient satisfaction and a lowrate of complications. The T-scar superior and superomedial pedicle techniques offer safe, reliable, and easily reproducible means of breast reduction, with a versatility that works for extremely large breasts while avoiding the bottoming out of inferior/central mound methods. The procedures are simple to learn and provide satisfactory preservation of nipple sensation. Because of the smaller area of de-epithelialization and the simplicity of the resection technique, the operative time can be reduced relative to other inverted “T” approaches. They allow easy mobility of the nipple-areolar complex, and give normal-appearing nipple-areolae and lasting cosmetic results. The senior author's procedural approach to these superior parenchymal breast reduction techniques is illustrated in detail and representative clinical examples are given.