Central Pedicle Breast Reduction

Abstract

Many reduction mammaplasty procedures have been proposed of late. Many rely on intraoperative refinements that demand an advanced level of experience with the technique and invoke a steep learning curve fraught with problems for the novice. The central pedicle reduction mammaplasty technique was introduced by Hester et al in 1985. This technique has been shown to be a safe, reliable, and versatile approach to breast reduction that is applicable to the majority of breast sizes and shapes. Its particular advantages are in the predictability in tailoring the skin envelope and glandular component from preoperative judgement, in the flexibility in the intraoperative execution of the procedure, and in the maintenance of a generous neurovascular supply. These advantages allow for a low complication rate. This technique can easily be taught with a high degree of predictability in planning and execution. A series of approximately 50 consecutive cases is presented with an analysis of the results.