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. 2024 Nov;48(21):4430-4442.
doi: 10.1007/s00266-024-04055-5. Epub 2024 May 3.

Superior Medial-Based Breast Reduction with Inverted T Incision: A Precise Description of Our Refined Preoperative Marking and Operative Technique

Monika Lanthaler  1 , Alexander Haim  2 , Theresia Steinkellner  2 , Carina Harasser  2 , Christoph Tasch  2 , Agnese Nitto  2 , Anton Schwabegger  2 , Dolores Wolfram  2
Affiliations

Superior Medial-Based Breast Reduction with Inverted T Incision: A Precise Description of Our Refined Preoperative Marking and Operative Technique

Monika Lanthaler et al. Aesthetic Plast Surg. 2024 Nov.

Abstract

The purpose of this paper was to compile a thoroughly elaborated step-by-step guide for the preoperative marking and operative technique for superior medial pedicle inverted T breast reduction based on our long experience and technical refinements. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Keywords: Breast reduction; Marking; Operation; Technical refinements.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare that they have no conflicts of interest to disclose. Human and Animal Rights: This article does not contain any studies with human participants or animals performed by any of the authors. Informed Consent: For this type of study, informed consent is not required.

Figures

Fig. 1
Fig. 1
Preoperative markings—important lines
Fig. 2
Fig. 2
Preoperative markings—vertical sides, horizontal lines
Fig. 3
Fig. 3
Preoperative markings—upper border of the areola opening, pinch test, middle of the upper arm
Fig. 4
Fig. 4
Preoperative markings—areola opening, angle between the vertical sides, 4 cm semicircular template
Fig. 5
Fig. 5
Marking of the superior medial pedicle
Fig. 6
Fig. 6
Deepithelialization of the superior medial pedicle
Fig. 7
Fig. 7
Incision of the whole upper horizontal line
Fig. 8
Fig. 8
Dissection down to the fascia in the upper horizontal line
Fig. 9
Fig. 9
Incision of the lateral part of the pedicle
Fig. 10
Fig. 10
Superior medial pedicle
Fig. 11
Fig. 11
Rotation of the pedicle into its position
Fig. 12
Fig. 12
Incision of the dermis at the pedicle inferior medial
Fig. 13
Fig. 13
Temporary suture of the superior part of the areola opening
Fig. 14
Fig. 14
Suture of the inferior triangle region
Fig. 15
Fig. 15
Suture of the medial and lateral parts of the IMF
Fig. 16
Fig. 16
Pre- and postoperative photographs of breast reduction patients operated by us
See this image and copyright information in PMC

References

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    1. Rogliani M, Gentile P, Labardi L et al (2009) Improvement of physical and psychological symptoms after breast reduction. J Plast Reconst Aesthet Surg 62(12):1647–1649 - PubMed
    1. Mello AA, Domingos NAM, Miyazaki CM (2010) Improvement in quality of life and self-esteem after breast reduction sugery. Aesthetic Plast Surg 34(1):59–64 - PubMed
    1. Muslu Ü (2018) The evolution of breast reduction publication: a bibliometric analysis. Aesth Plast Surg 42(3):679–691 - PubMed
    1. Bauermeister AJ, Gill K, Zuriarrain A et al (2019) Reduction mammoplasty with superiormedial pedicle technique: a literature review and retrospective analysis of 938 consecutive breast reductions. J Plast Reconstr Aesth Surg 72(3):410–418 - PubMed

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