Comparison of Superomedial and Inferior Pedicle Techniques in Mammaplasty
Condition: Breast Hypertrophy
MeSH terms: Hypertrophy
Study type: Interventional

Summary: 
      The aim of this study is to evaluate Superomedial pedicle and Inferior pedicle techniques in
      breast reduction for Egyptian females and compare between both pedicles regarding cosmetic
      outcomes, possible complications, patient satisfaction and time of operation.
    

Detailed description: 
      The female breast is one of the most attractive aesthetic areas in female anatomy. The size,
      shape, and symmetry of the breasts can have a dramatic effect on the women's wellbeing.
      Reduction mammaplasty is certainly one of the operations; plastic surgeons can significantly
      contribute to a woman's quality of life.

      Macromastia or Breast Hypertrophy is a pathologic condition consisting of hypertrophy of the
      breast. It generates both physical and psychological distress, presenting a significant
      threat to a woman's health-related quality of life. Regarding Physical Distress Macromastia
      always associated with a number of musculoskeletal complications, including neck pain, back
      pain, headache, peripheral neuralgias, and shoulder pain. Often, women with mammary
      hypertrophy experience intertriginous skin maceration and other rashes, as well as infections
      all the result of heavy, pendulous breasts. In short, a woman's breast size can affect her
      attitudes, career choices, and personal life in many ways.

      Ideal technique should end in a beautiful breast, which has good size with fullness in the
      upper part, attractive shape with adequate projection, elegant curves, and a nipple areola
      complex that is pleasing in shape and position. The result should last over years.

      The inferior pedicle technique has been described with many variations by surgeons such as
      Ribeiro and Robbins with the nipple and areola being carried on a dermal pedicle, and it is
      probably one of the most popular breast reduction techniques currently in use in the United
      States. Advantages of this are well known. It is a rapid and safe technique that can be used
      on almost every breast size. It has been shown to be as good as or better than other
      techniques in the preservation of the neurovascular supply to the nipple. It is easily taught
      and learned.

      The superomedial pedicle technique was first described by Orlando & Gutherie as a
      modification of the superior pedicle technique. In this technique the nipple & areola (NAC)
      is transposed on a superomedial de-epithelialized pedicle which contains a thin layer of
      subcutaneous tissue to protect the dermal blood supply.
    

Intervention name(s): Breast reduction
Intervention type(s): Procedure
Intervention description(s): breast reduction surgery for breast hypertrophy using either superomedial or inferior pedicle technique
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: breast reduction; mammaplasty; breast-q; patient satisfaction; patient reported outcome measures; superomedial pedicle; inferior pedicle