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Rigshospitalet - a part of Copenhagen University Hospital
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Breast Reduction with Deskinning of a Superomedial Pedicle: A Retrospective Cohort Study

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BACKGROUND: In most breast reduction techniques, the pedicle of the nipple-areola complex (NAC) is de-epithelialized to preserve the subdermal plexus, thereby decreasing the risk of NAC necrosis. However, deskinning the pedicle is faster and makes it more pliable, which potentially improves the aesthetic outcome. There is no scientific evidence regarding the beneficial effects of de-epithelialization. In this study, we present data from patients undergoing breast reduction with deskinning of a superomedial pedicle.

METHODS: In the period June 2013 to March 2019, a single surgeon performed all breast reductions using a superomedial glandular pedicle. The patients were included retrospectively and data were collected by reviewing the medical records. The NAC necrosis rate was compared with data from the literature through a systematic review.

RESULTS: The cohort consisted of 142 consecutive patients. The median resection weight was 287 g (interquartile range (IQR), 197-399) per breast. No complete NAC necroses occurred during the follow-up period, but two patients (1.4%) developed partial NAC necrosis. In the literature, the rate of NAC necrosis (complete or partial) was 1.5% of patients undergoing breast reduction with de-epithelialization.

CONCLUSION: The rate of NAC necrosis after breast reduction with deskinning of the pedicle was comparable with breast reductions with de-epithelialization that has been reported in the literature. Our findings support that the pedicle in breast reduction surgery can be deskinned safely in patients with low resection weights.

Original languageEnglish
JournalJournal of plastic, reconstructive & aesthetic surgery : JPRAS
Volume73
Issue number7
Pages (from-to)1299-1305
Number of pages7
ISSN1748-6815
DOIs
Publication statusPublished - Jul 2020

    Research areas

  • Adult, Cohort Studies, Dermatologic Surgical Procedures, Female, Humans, Mammaplasty/methods, Middle Aged, Necrosis, Nipples/pathology, Postoperative Complications/pathology, Retrospective Studies

ID: 61833949