Septum-Based Superomedial Pedicle Breast Reduction: Reliable Results with Minimal Complications

Abstract

Introduction: Different pedicle patterns have been used including superior, superomedial and medial pedicle techniques. A thin horizontal septum had been identified by Wuringer et al. which arises from the pectoral fascia at 5^th rib. This septum divides the breast into cranial and caudal parts. It carries intercostal perforators and the main nerve supply to the NAC. Method: 20 patients are included in this study with septum-based superomedial breast reduction with mean distance for nipple transfer is 11.5 cm & 11.48 cm for right and left breast and mean excised breast tissue 930 gm & 894 gm for right and left breast respectively. Result: Complications occurred in 5 patients; hematoma in 2 patients, wound breakdown in 2 patients and partial nipple and areola necrosis in 1 patient. Conclusion: Combination of the horizontal breast septum with the superomedial pedicle in breast reduction surgeries allows for resection of the desired breast tissue while maintaining a good vascular supply to the nipple-areola complex with a minimal rate of complication.