Breast Hypertrophy Clinical Trial
Official title:
Superomedial Pedicle Versus Inferior Pedicle in Breast Reduction Surgery
The aim of this study is to evaluate Superomedial pedicle and Inferior pedicle techniques in breast reduction for Egyptian females and compare between both pedicles regarding cosmetic outcomes, possible complications, patient satisfaction and time of operation.
The female breast is one of the most attractive aesthetic areas in female anatomy. The size,
shape, and symmetry of the breasts can have a dramatic effect on the women's wellbeing.
Reduction mammaplasty is certainly one of the operations; plastic surgeons can significantly
contribute to a woman's quality of life.
Macromastia or Breast Hypertrophy is a pathologic condition consisting of hypertrophy of the
breast. It generates both physical and psychological distress, presenting a significant
threat to a woman's health-related quality of life. Regarding Physical Distress Macromastia
always associated with a number of musculoskeletal complications, including neck pain, back
pain, headache, peripheral neuralgias, and shoulder pain. Often, women with mammary
hypertrophy experience intertriginous skin maceration and other rashes, as well as infections
all the result of heavy, pendulous breasts. In short, a woman's breast size can affect her
attitudes, career choices, and personal life in many ways.
Ideal technique should end in a beautiful breast, which has good size with fullness in the
upper part, attractive shape with adequate projection, elegant curves, and a nipple areola
complex that is pleasing in shape and position. The result should last over years.
The inferior pedicle technique has been described with many variations by surgeons such as
Ribeiro and Robbins with the nipple and areola being carried on a dermal pedicle, and it is
probably one of the most popular breast reduction techniques currently in use in the United
States. Advantages of this are well known. It is a rapid and safe technique that can be used
on almost every breast size. It has been shown to be as good as or better than other
techniques in the preservation of the neurovascular supply to the nipple. It is easily taught
and learned.
The superomedial pedicle technique was first described by Orlando & Gutherie as a
modification of the superior pedicle technique. In this technique the nipple & areola (NAC)
is transposed on a superomedial de-epithelialized pedicle which contains a thin layer of
subcutaneous tissue to protect the dermal blood supply.
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