Reduction mammaplasty with the superior-lateral dermo-glandular pedicle

Objective To introduce a new technique for reduction mammaplasty appropriate to moderate or heavy hypertrophic breast. Methods The superior-lateral dermo-glandular pedicle flap including the nipple-areola complex was created. After the extra glandular tissue was removed, the superior-lateral dermo-glandular pedicle with the nipple-areola complex was rotated, adjusted, sculptured and fixed to the thoracic wall so as to fashion a breast with natural projection and proper shape. This method was used in 4 patients(8 breasts). Results The operation results were satisfactory without complications. The breasts maintained nice configuration and good function, with well lactating in one case. Conclusion The technique of reduction mammaplasty with the superior-lateral dermo-glandular pedicle is a reasonable method to obtain nice breast configuration and good function.