Central mound pedicel combined with super medial parenchyma pedicel technique for breast reduction

Objective In order to achieve safety of nipple, skin flap circulation and better shape, we use the central mound combined with super medial parenchyma pedicel technique. Methods From 2003 to 2007, 25 patients underwent this technique, which are mainly on the central mound and super medial-parenchyma pedicle, incorporated with the modified Wise-pattern skin resection and periareolar dermal flap. Results With a follow-up at 3 months to 3 years, the patients who underwent this technique, had a better shape of breast and preserved their sensation of nipple-areola complex. Conclusion Depending on different anatomy of breast and fixed reference landmarks, we sculpted skin, breast gland and periareolar dermal flap around nipple-areola complex, and then composed them together. Compared with other techniques, our design is more flexible and manipulation is more individuation. Through long-dated observation this has been considered reliable and versatile.