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A Comparative Analysis of Complication Profiles in Superomedial and Inferior Pedicle Breast Reduction Techniques
Christina Scarr, MD; Dean Spyres, MS; Anuja Sarode-Paciorek, PhD; Steffi Sharma, MD; Michael Subichin, MD; Moheb Said, MD
Summa Health Hospital
2025-01-09
Presenter: Christina Scarr, MD
Affidavit:
This project represents original research conceptualized, performed, and analyzed by the submitting resident in majority, with assistance provided by the other paper authors. Dr. Scarr assisted with the project from its beginning, and was performed the majority of the data collection and early analysis, as well as drafting of the abstract.
Director Name: Erica Laipply, MD
Author Category: Other Specialty Resident
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Introduction:
Reduction mammoplasty is highly variable in pedicle selection and skin excision pattern. Limited data have compared surgical approach regarding complications. Vertical pattern reductions have been utilized in smaller reductions to improve shape and decrease complication. We sought to evaluate outcomes of superomedial pedicle vertical pattern excision compared to inferior pedicle wise excision pattern for the treatment of symptomatic macromastia.
Methods:
A retrospective review of 100 patients who underwent bilateral breast reduction for symptomatic macromastia was conducted from October 2022 to April 2024. Of the initial group, 85 patients met inclusion criteria: 50 utilized the superomedial pedicle and 35 utilized the inferior pedicle. Data collected included demographics, operative data, and postoperative complications. Comparative analysis using students t-test and fisher's exact test was used for all analysis.
Results:
There was no statistically significant difference between the two techniques in relation to demographics and postoperative complication rates (p > 0.05) including wound healing, seroma, infection, and nipple sensation. A larger total tissue resection was associated (p < 0.0001) with the inferior pedicle (1723.8 g) compared to the superomedial pedicle (909.5 g).
Conclusion:
The findings suggest similar complication profiles for the superomedial and inferior pedicle breast reduction technique despite different pedicle and incision patterns. Larger volume wise pattern reductions were not associated with higher complication rates compared to vertical pattern reduction.
