Reduction Mammaplasty Using McKissock Vertical Bipedicle Technique

CME Evolution of the Vertical Reduction Mammaplasty

A recent survey found that the inferior pedicle, inverted-T skin pattern is still the most common breast reduction technique used among U.S. plastic surgeons.1 This technique has been widely taught in North America and is familiar to most American plastic surgeons. Using the skin markings of this technique, the glandular excess, skin envelope, and nipple position may be readily and reliably add...

Patient satisfaction with vertical reduction mammaplasty: Part I.

BACKGROUND Patients with breast hypertrophy often experience a number of physical symptoms (including intertrigo, painful bra strap grooves, upper and lower back pain, shoulder pain, neck pain, arm pain, numbness or pain in the hands, breast pain, and headaches), as well as psychosocial difficulty. Although these preoperative symptoms have been well-documented in the literature, formal postoper...

Breast Reduction Mammaplasty

DESCRIPTION A 45-year-old obese woman presented for evaluation of her symptomatic large breasts. After consultation, the patient elected to undergo bilateral Wise pattern breast reduction with inferior pedicle.

Lateral pillar suspension in vertical-scar mammaplasty.

Pyoderma gangrenosum following reduction mammaplasty.

The failure of a postoperative local infection to resolve after appropriate antibiotic therapy should prompt consideration of other diagnoses. Reported here is a case of pyoderma gangrenosum, a rare necrotizing disorder, occurring after reduction mammaplasty. The clinical presentation was one of progressive wound deterioration with associated erythema and intense pain. After failure of antibiot...