Karim Fahmy, Tamer Salama, Ahmed Aly, Tarek Youssef and Ahmed Gamal
Background: Reduction mammoplasty is a challenging combination of aesthetic and functional plastic surgery. It is a technique that provides a safe and predictable result with NAC preservation. The end result should be judged on volume, scar pattern, shape, symmetry, and nipple position with projection. Though the ideal normal breast does not exist, the ideal operated breast should satisfy certain morphologic criteria. Despite the diversity of procedures, there is no consensus about the ideal technique for reduction mammoplasty.
Aim: To compare the clinical and the aesthetic outcome of the superomedial pedicle and the inferior pedicle techniques in reduction mammoplasty for females complaining of symptomatic breast hypertrophy.
Methods: 24 patients with huge symptomatic breasts at the department of General Surgery, Ain-shams University hospitals from Jan 2017 to September 2018 were divided into two groups; Group (A) Patients underwent reduction mammoplasty using superomedial pedicle technique and Group (B) Patients offered inferior pedicle technique. Both groups were compared as regards aesthetic, surgical outcome and relief of complaint.
Results: 10 patients in group A suffered from pain and pra-srap groove opposite to 9 in group B. In group A and B 11 patients out of 12 in each group had the unaccepted body shape with social embarrassment. Mean BMI was 38.72 and 36.96 in group A and B respectively. The mean weight of excised tissue in our study was 1151.6 grams in group A and 1167.1 grams in group B. There was relief of pain in 100% of group A, 83.3% of group B. Pra strap groove diminished in 100% patients. optimum patient satisfaction occurred in 100% of group A and 83.3% of group B. Regarding the Desired size and shape of the breast, in group A; 11 patients (91.7%) gave Very good, 1 patient (8.3%) gave good while no patient gave poor (0%), on the other hand, 3 patients (25%) in group B gave very good, 7 (58.3%) good and 2 (16.7) poor. 4 patients in group B (33.3%) had boxy breast deformity, while no patient (0%) in group A had such complication.
Conclusion: Both superomedial and inferior pedicle techniques in reduction mammoplasty are safe, feasible and effective however boxy breast deformity.