The Superomedial Pedicle Wise-Pattern Breast Reduction: Reproducible, Reliable, and Resilient
Wise Pattern Breast Reduction Los Angeles | Breast Reduction Beverly Hills
The combination of the superomedial pedicle with the traditional Wise-pattern skin resection has gained increasing popularity for its versatility and ability to achieve significant reduction of breast parenchyma and skin envelope with improved contour and lasting results. Here the authors review the pertinent anatomy and discuss their surgical technique and its benefits. In addition, a retrospective chart review of 80 patients breasts who underwent superomedial pedicle Wise-pattern breast reduction between and was performed. Mean specimen weights and complication rates, including seroma, delayed wound healing, nipple loss, infection, and reoperation were calculated for the cohort. Breast reduction remains a commonly performed operation, with more than , breast reductions performed in per the American Society for Aesthetic Plastic Surgery. With obesity rates continuing to rise in the United States population, more women are seeking breast reduction to free themselves from the mastalgia, neck pain, shoulder pain, and intertrigo that often hinders their daily activities. As the surgery has evolved, a variety of pedicle and skin resection patterns have been described in an attempt to sculpt the ptotic, heavy breast into the patient's aesthetic and functional ideal.
The Wise Pattern breast reduction method is the oldest and most common technique in use. In this method an incision is made around the perimeter of the areola, vertically down the center of the breast and then horizontally along bottom seam of the breast where it meets the abdomen. This technique is known to produce the most scarring. It is best suited to women who have large breasts that which sag considerably when unsupported and who will not receive sufficient benefit from less invasive methods.
We present a year-old female with hypertrophic breasts of bra size 38H, bra strap grooving, and worsening back and posterior shoulder pain limiting activity and affecting posture, who underwent bilateral reduction mammoplasty using the Wise pattern inferior pedicle technique. The procedure was uncomplicated; however, the postoperative period was complicated by minor skin breakdown at the most inferior portion of the incision along the inframammary fold, as well as some serous drainage that shortly resolved with treatment. Overall, the patient is satisfied with the results of the reduction. She reports comfortably wearing size 38C bras and has noticed significant improvement in back pain, shoulder pain, and bra strap grooving six months after the procedure.