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Breast Reduction

Hall-Findlay, Elizabeth J. M.D.; Shestak, Kenneth C. M.D.

Plastic and Reconstructive Surgery: October 2015 - Volume 136 - Issue 4 - p 531e–544e
doi: 10.1097/PRS.0000000000001622
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Learning Objectives: After studying this article, the participant should be able to: 1. Identify the anatomy of both the vascular supply and the innervation to the breast to design the appropriate pedicle in breast reduction. 2. Understand various approaches to breast reduction to be able to maximize both functional and aesthetic results. 3. Understand each step in the operative procedure to be able to provide consistent predictable results in breast reduction.

Summary: The objective with breast reduction surgery is to reposition the nipple, remove excess parenchyma, and tailor the skin to fit the new shape. This is a CME article meant to provide an overview of principles while trying not to provide a single practitioner viewpoint. The article includes a brief history, a review of the anatomy, and patient selection. The preoperative markings and operative technique for both inverted-T and vertical approaches are detailed. Postoperative care and potential complications are included.

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Banff, Alberta, Canada; and Pittsburgh, Pa.

From Banff Plastic Surgery and the University of Pittsburgh School of Medicine, Magee-Women’s Hospital, and the Aesthetic Plastic Surgery Center of University of Pittsburgh Medical Center.

Received for publication March 21, 2012; accepted November 21, 2014.

Disclosure: Neither author has any financial conflicts to disclose.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Elizabeth J. Hall-Findlay, M.D., Banff Plastic Surgery, P.O. Box 2009, 317 Banff Avenue, Suite 340, Banff, Alberta T1L 1B7, Canada,

©2015American Society of Plastic Surgeons