Abstract
Background: In this study, we present our technique ofthe septum-based superomedial pedicle reduction mammoplastyusing an inverted T scar pattern. It is based on theWuringer's horizontal breast septum, through which run themain neurovascular supply to the nipple-areola complex(NAC).Patients and Methods: The study included 35 cases withbilateral breast hypertrophy. The mean suprasternal notch tonipple (SSN-N) distance in our cases was 39.7±5.6cm. Themean nipple elevation in our cases was 17.9±4.6cm. Our meanresection weight was 764±160 grams per side. We had 6 caseswith resection weight exceeding 1500 grams per side.Results: We had no cases of partial or total necrosis ofthe NAC. Immediate postoperative breast sensation waspreserved in 26 cases and was impaired in 9 cases but it wasregained spontaneously within 6 months.Conclusion: The septum-based superomedial pedicletechnique of reduction mammoplasty is safe technique withimproved NAC vascularity and sensation, even in cases ofgigantomastia, owing to the preservation of the importantneurovascular structures related to the breast septum.
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