LAUSR

BACKGROUND The superomedial pedicle for reduction mammoplasty remains less commonly performed than the inferior pedicle. This study seeks to delineate the complication profiles and outcomes for reduction mammoplasty using a superomedial pedicle technique in a large series. METHODS A retrospective review was conducted of all consecutively performed reduction mammoplasty cases at a single institution by two plastic surgeons over a two-year period. All consecutive superomedial pedicle reduction mammoplasty cases for benign symptomatic macromastia were included. RESULTS Four hundred sixty-two breasts were analyzed. Mean age was 38.3±13.38 years, mean BMI 28.5±4.95, and mean reduction weight 644.4±299.16 grams. Regarding surgical technique, a superomedial pedicle was used in all cases, and Wise pattern incision in 81.4% and short-scar incision in 18.6%. The mean sternal notch-to-nipple measurement was 31.2±4.54 cm. There was a 19.7% rate of any complication, the majority of which were minor in nature, including any wound healing complications treated with local wound care (7.5%) and scarring with intervention in the office (8.6%). There was no statistically significant difference in breast reduction complications and outcomes using the superomedial pedicle, regardless of sternal notch-to-nipple distance. BMI (p=0.029) and breast reduction specimen operative weight (p=0.004) were the only significant risk factors for a surgical complication, and with each additional gram of reduction weight, the odds of a surgical complication increased by 1.001. Mean follow up time was 40.5±7.1 months. CONCLUSION The superomedial pedicle is an excellent option for reduction mammoplasty, portending a favorable complication profile and long-term outcomes.