Breast Reduction Surgery: Inferior Pedicle Technique

Women with extremely large breasts suffer from a variety of health problems and often seek a breast reduction surgery for alleviating their symptoms. Common problems caused by unusually large breasts include severe backache, pain in the shoulder and neck region and repeated skin infection in the skin surrounding/underlying the breasts. However, a breast reduction surgery is also sought due to purely cosmetic reasons. Within the niche of breast reduction surgery, the pedicle technique is considered as the most conventional option.

Pedicle Technique in Breast Reduction Surgery

This method is aimed at comprehensively reducing the breast size. This means that the breast tissue is removed and overlying skin is repositioned to substantially reduce the size of breasts. The major advantage of this procedure lies in its greater safety. It is largely believed that the pedicle method is less likely to cause a loss of sensation in the breasts or create lactation-linked problems.

The pedicle method does so by ensuring the vascular blood supply to the NAC or the Nipple and Areola Complex is sustained via a slightly-lifted attachment of the NAC to the chest. Thus, the areola and nipple aren't fully excised which radically reduces the risks associated with breast reduction surgeries.

Inferior Pedicle Technique Basics

There are many variations of the pedicle approach. Among these, the inferior pedicle technique is considered as the safer potion. Essentially, each variant of the pedicle technique seeks to maintain the vascular and nervous supply of the areola and nipple in the least demanding way. The attachment to the chest can be maintained from various positions, including the sideways pedicle and top pedicle approach. The eventual choice is also dependent upon the degree of breast reduction sought since each pedicle variant is bound to affect the amount of breast tissue that can be removed.

Decoding Inferior Pedicle Technique

The preoperative part of the surgery is aimed at making accurate markings on the breasts. These markings help to ensure that the symmetry of breasts is maintained during the surgery.

The inferior pedicle technique is also called the keyhole technique. Here, an anchor-shaped incision is made for encircling the areola. However, the incision doesn't completely cut-off the areola since attachment with the chest needs to be maintained. The incision moves downward, i.e. from the areola's circumference towards the base of the breast.

After making the incisions, the extra adipose tissue, fat and skin are systematically excised. In accordance with the new (reduced) shape of the breasts, the nipple and areola are slightly repositioned, i.e. moved higher since the breast volume has been significantly reduced. The incision wounds are sutured and the patient is usually made to wear a surgical bra that hampers infection of the incision sites and secures the healing breasts. Some degree of postoperative discomfort or pain is inevitable since this is an invasive surgery.

Follow-up in inferior pedicle technique breast reduction is aimed at ascertaining the healing of sutures and the symmetry of the operated breasts. In general, there is little fear of scarring or loss of sensation in the NAC in inferior pedicle technique surgeries.

The inferior pedicle breast reduction method is still not the wisest option wherein extremely big, pendulous breasts are involved. This is because the presence of a pedicle hampers the greater removal of breast tissue that is needed in such cases.

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