Abstract
Aim: Common pitfalls with existing breast reduction techniques include poor aesthetic outcome, such as development of a “boxy” breast shape, and pseudoptosis. Presented here are a series of modifications to the technique of central mound breast reduction, based on previous work, aimed at ensuring consistent aesthetic results which are maintained in the long-term.
Highlights
IntroductionIn which the gland with the nipple at its apex contains the pedicle of blood supply to the nipple, is reported to maintain nipple sensation well[2]
Breast reduction has been described and modified by over 30 authors over more than 100 years[1], and most techniques share the common pitfalls of pseudoptosis, difficulty ensuring an aesthetically pleasing shape, and failure to maintain aesthetic results in the long-term
In which the gland with the nipple at its apex contains the pedicle of blood supply to the nipple, is reported to maintain nipple sensation well[2]
Summary
In which the gland with the nipple at its apex contains the pedicle of blood supply to the nipple, is reported to maintain nipple sensation well[2]. In addition it maintains a reliable blood supply and allows good visualisation of the whole gland for shaping and removal of tissue. We describe a series of refinements to the technique of central mound breast reduction, designed to optimise the aesthetic outcome and maintain longevity of results. This technique can be applied to reductions of large or small breast volumes, or of simple mastopexy without reduction.
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