Breast Reduction with Deskinning of a Superomedial Pedicle: A Retrospective Cohort Study
Research output: Contribution to journal › Journal article › Research › peer-review
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 language | English |
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Journal | Journal of Plastic, Reconstructive and Aesthetic Surgery |
Volume | 73 |
Issue number | 7 |
Pages (from-to) | 1299-1305 |
Number of pages | 7 |
ISSN | 1748-6815 |
DOIs | |
Publication status | Published - 2020 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:
© 2020 Elsevier Ltd
- Breast, De-epithelialization, Deskinning, NAC necrosis, Nipple necrosis, Reduction
Research areas
ID: 375673525