Commentary on: Power-Assisted Liposuction Mammaplasty (PALM): A New Technique for Breast Reduction

Commentary on: Power-Assisted Liposuction Mammaplasty (PALM): A New Technique for Breast Reduction.

BACKGROUND Resection and reshaping of the parenchyma are common procedures to produce a natural breast shape in reduction mammaplasty and mastopexy. The challenges of these practices include maintaining sensitivity of the nipple-areola complex (NAC), achieving upper-pole fullness, and preserving an adequate blood supply for patients with massive breast ptosis. OBJECTIVES The authors describe ...

Commentary on: The central pillar technique: a new septum-based pedicle design for reduction mammaplasty.

BACKGROUND Successful breast reduction involves remodeling the breast parenchyma and creating a pedicle to maintain blood supply to the nipple-areola complex (NAC). Although vascular compromise is generally venous in breast reduction surgery, clear anatomical descriptions of the breast veins are lacking in textbooks. OBJECTIVES The author designed an NAC flap based on arterial and venous terr...

Commentary on: Nipple areola reconstructing reduction mammaplasty.

Breast Reduction Mammaplasty

DESCRIPTION A 45-year-old obese woman presented for evaluation of her symptomatic large breasts. After consultation, the patient elected to undergo bilateral Wise pattern breast reduction with inferior pedicle.

Breast-feeding after inferior pedicle reduction mammaplasty.

The breast-feeding practices of a series of postpartum women, who had undergone prior reduction mammaplasty by means of an inferior pedicle approach, are reported in this retrospective study. Also identified are the factors that influenced the decision to breast-feed postoperatively. From a patient pool of 544 individuals who elected to have reduction mammaplasty between 1984 and 1994 (age rang...