Superomedial Pedicle Breast Reduction Part 1 - Initial Presentation and Desired Result | Surgery Spotlight-Surgery Spotlight: Superomedial Pedicle Breast Reduction Part 1

Surgery Spotlight: Superomedial Pedicle Breast Reduction Part 1 - Initial Presentation and Desired Result

Video Transcription

For this 20-year-old patient, at the time of consultation, we take the photographs like this.  I explain to them about their footprint, that the footprint will not change, that this here is chest.  Talk to them about the footprint, talk to them about what our desired result is, that the upper breast border doesn't change, and it's all about controlling that excess glandular  ptosis. So I'll draw on the picture a smaller breast, maybe a bit of a larger breast. Then I talk to them about the scarring, that there's about 15% of patients will permanently  lose some sensation in the nipples and the breast skin, or reverse that to say that 85%  of patients will recover normal to near-normal sensation, and then we usually tell them breastfeeding is about 50-50, but if they want to, they should try.  But I find these photographs at the time of consultation not only help the patient understand,  but help me focus on what some of the issues are, because I find it easier, and patients find it easier looking at their photographs than at looking at them in the mirror.

Video Summary

During consultations with 20-year-old patients, photographs are taken to discuss their breast footprint and desired outcomes. The consultation covers controlling glandular ptosis, the potential for sensory changes—where 85% may recover normal sensation—and the 50-50 chance of successful breastfeeding post-surgery. The photographs serve as a reference to help both the patient and surgeon focus on specific issues. Patients find it easier to understand their situation through these images rather than using a mirror.

Asset Caption

In this video, Elizabeth Hall-Findlay, MD, shows the initial patient presentation photos, and discusses her procedural planning and informed consent process with the patient.

Surgeon Elizabeth Hall-Findlay, MD This product is not certified for CME.

Keywords

Surgical Videos

surgery spotlight

Breast

Elizabeth Hall-Findlay MD; Memben

procedural planning

informed consent process

breast consultation

glandular ptosis

sensory changes

breastfeeding chances

patient photographs