ABSTRACT
Inferior pedicle reduction mammaplasty technique is a reliable technique used in reduction mammaplasty. This technique includes a well-vascularised dermalparenchymal pedicle for safe nipple-areola transposition, but it has been criticised as resulting in a flat breast with inadequate projection after long-term follow-up. Various techniques in which internal shaping of the pedicle are used have demonstrated decreased secondary ptosis. We used internal shaping sutures for the inferior pedicle flap together with lateral and medial sutures hoping for long lasting aesthetic projection and narrow base for the reduced breast. Evaluation by review of the patient charts, photographic analysis and patient-satisfaction questionnaire has revealed acceptable long term results. Inferior pedicle reduction mammoplasty technique with internal shaping sutures is an easy and uncomplicated modification that provides additional advantages for prevention of the secondary ptosis of the reduced breasts in the long term