J Korean Soc Plast Reconstr Surg.  2009 Nov;36(6):784-787.

Secondary Reduction Mammaplasty using Different Pedicle from the Initial Pedicle: Report of Two Cases

• Kim KN
• Lee TJ
• Kim EK
• Kim TG

Abstract

PURPOSE
Reduction mammaplasty is one of the most commonly performed operations in plastic surgery. Although secondary surgery is occasionally required for minor aesthetic problems or for treatment of the complications of the primary surgery, there are no clear operative guidelines of management. We report here two cases of secondary reduction mammaplasty using differrent pedicle from the initial ones.
METHODS
One case of secondary reduction mammaplasty were performed using medial pedicle after central (19 years) pedicle reduction mammaplasty because of subsequent breast ptosis and asymmetry. The other case was performed using medial pedicle after superior (4 years) pedicle reduction mammaplasty with contralateral immediate breast reconstruction with TRAM flap because of subsequent breast ptosis and asymmetry. Care was taken to include sufficient width of pedicle and adequate soft tissue attachment beneath the nipple-areolar complex.
RESULTS
There was no significant complication such as nipple-areolar necrosis or fat necrosis. The results were well maintained throughout the follow-up period.
CONCLUSION
Medial pedicle reduction mammaplasty can be safely performed after central or superior pedicle reduction mammaplasty when sufficient width of pedicle and adequate soft tissue attachment beneath the nippleareolar complex are maintained.

Keyword

Secondary reduction mammaplasty; Medial pedicle

MeSH Terms

Breast
Fat Necrosis
Female
Follow-Up Studies
Mammaplasty
Necrosis
Surgery, Plastic