Many variations can be applied to traditional mammoplasty techniques to improve outcomes in certain situations. The purpose of this report was to demonstrate the indications and benefits of mammoplasty autoaugmentation using an extended superomedial pedicle. All patients who underwent transfer of an extended superopedicleto other parts of the breast for autoaugmentation were included. Indications were determined and outcomes were assessed. Forty-eight patients were included in the series. The average follow-up was 2.1 years. Indications were categorized into reconstruction of a partial mastectomy defect (oncoplastic group, n = 18), upper pole volume in the contralateral mastopexy (implant reconstruction group, n = 9), and volume improvement and suspension (massive weight loss group, n = 21). The overall complication rate was 15% (n = 7/48), with a revision rate of 10% (5/48). The extended superomedial pedicle is a reliable and versatile adjunct to regular mastopexy techniques for various indications. It gives us the ability to transfer vascularized tissue from the lower pole to areas that require autoaugmentation.
Cite this paper
A. Losken, C. D. Funderburk and C. Duggal, "The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques," Modern Plastic Surgery, Vol. 3 No. 1, 2013, pp. 20-27. doi: 10.4236/mps.2013.31005.
 R. J. Rohrich, A. A. Gosman, S. A. Brown and J. Reisch, “Mastopexy Preferences: A Survey of Board-Certified Plastic Surgeons,” Plastic & Reconstructive Surgery, Vol. 118, No. 7, 2006, pp. 1631-1638.
 E. J. Hall-Finlay, “A Simplified Vertical Reduction Mammaplasty: Shortening the Learning Curve,” Plastic & Reconstructive Surgery, Vol. 104, No. 3, 1999, pp. 748-759.
 S. P. Davison, A. N. Mesbahi, I. Ducic, M. Sarcia, J. Dayan and S. L. Spear, “The Versatility of the Superomedial Pedicle with Various Skin Reduction Patterns,” Plastic & Reconstructive Surgery, Vol. 120, No. 6, 2007, pp. 1466-1476. doi:10.1097/01.prs.0000282033.58509.76
 A. Losken and D. J. Holtz, “Versatility of the Superomedial Pedicle in Managing the Massive Weight Loss Breast: The Rotation-Advancement Technique,” Plastic & Reconstructive Surgery, Vol. 120, No. 4, 2007, pp. 1060-1068. doi:10.1097/01.prs.0000278004.24650.e6
 S. Kwei, L. Borud and B. T. Lee, “Mastopexy with Autologous Augmentation after Massive Weight Loss: The Intercosal Artery Perforator (ICAP) Flap,” Annals of Plastic Surgery, Vol. 57, No. 4, 2006, pp. 361-365.
 M. Hamdi, K. Van Landuyt, P. Blondeel, et al., “Autologous Breast Augmentation with the Lateral Intercostal Artery Perforator Flap in Massive Weight Loss Patients,” Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol. 62, No. 1, 2007, pp. 65-70.
 R. J. Zienowicz, “Augmentation Mammaplasty by Reverse Abdominoplasty,” Plastic & Reconstructive Surgery, Vol. 124, No. 5, 2009, pp. 1662-1672.
 A. S. Colwell, D. Daniel and K. H. Breuning, “Mastopexy Techniques after Massive Weight Loss: An Algorithmic Approach and Review of the Literature,” Annals of Plastic Surgery, Vol. 63, No. 1, 2009, pp. 28-33.
 J. P. Rubin and G. Khachi, “Mastopexy after Massive Weight Loss: Dermal Suspension and Selective Auto-Augmentation,” Clinics in Plastic Surgery, Vol. 35, No. 1, 2008, pp. 123-129. doi:10.1016/j.cps.2007.08.008
 R. Graf, L. R. Reis de Araujo, R. Ripple, et al., “Reduction Mammaplasty and Mastopexy Using the Vertical Scar and Thoracic Wall Flap Technique,” Aesthetic Plastic Surgery, Vol. 27, No. 1, 2003, pp. 6-12.
 G. Botti, “Vertical Scar Mammaplasty: Stable Padding of the Superior Pole by Means of Posterioly Based Pedicle Autoprosthesis,” Aesthetic Surgery Journal, Vol. 19, No. 2, 1999, pp. 116-123. doi:10.1053/aq.1999.v19.97039
 M. Lejour, “Vertical Mammaplasty and Liposuction of the Breast,” Plastic & Reconstructive Surgery, Vol. 94, No. 1, 1994, p. 100.
 M. Akyurek, “Vertical Mastopexy and Lateral Intercostal Artery Perforator (LICAP) Flap with Pectoralis Muscle Sling for Autologous Tissue Breast Augmentation in the Bariatric Patient,” Annals of Plastic Surgery, Vol. 66, No. 1, 2011, pp. 29-35. doi:10.1097/SAP.0b013e3181d6e28a
 P. Kim, K. Kim and L. Casas, “Superior Pedicle Autoaugmentation Mastopexy: A Review of 34 Consecutive Patients,” Aesthetic Surgery Journal, Vol. 30, No. 2, 2010, pp. 201-210. doi:10.1177/1090820X10366009