Superomedial Pedicle Breast Reduction Part 4 - Left Breast Operative Procedure | Surgery Spotlight-Surgery Spotlight: Superomedial Pedicle Breast Reduction Part 4

Surgery Spotlight: Superomedial Pedicle Breast Reduction Part 4 - Left Breast Operative Procedure

Video Transcription

Video Summary

The video transcript outlines a surgical procedure for breast reduction using a vertical reduction with a true supramedial pedicle. The surgeon emphasizes the importance of making determinations with the patient standing for precise nipple placement. The procedure involves measuring and marking the areolar opening, as well as ensuring no tension on the skin or parenchyma to promote good wound healing. The transcript details the method of creating a dual axial blood supply, which ensures good blood flow and sensation to the nipple. The surgeon discusses specific techniques like liposuction and removing lateral excess breast tissue, tailoring each patient's needs based on their body type and amount of breast tissue. The process concludes with strategically placing sutures to maintain breast shape and ensure proper healing without tension, ultimately resulting in a natural and aesthetically pleasing contour.

Asset Caption

In this video, Elizabeth Hall-Findlay, MD, demonstrates a superomedial pedicle breast reduction procedure on the left breast of a 20-year-old patient. At the outset, as the patient is prone on the operating table, she retraces the markings previously made while the patient was standing up, and outlines the topography of the veins, arteries and nerves in relation to the planned incisions. She discusses her infiltration strategy, performs the initial incisions and de-epithelization and discusses the different pedicle options before removing the inferior wedge of breast tissue. She completes the operation and uses liposuction to refine the result. Surgeon Elizabeth Hall-Findlay, MD This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Breast

Elizabeth Hall-Findlay MD; Member

Content Codes-VI. (COSM) Plastic Surgery of the Breast

Content Codes-VI. E. (COSM) Aesthetic and Functional Problems of the Breast

Content Codes-VI.E.1. (COSM)Mammary hypertrophy

Content Codes-VI.E.1.b. (COSM)Surgical therapy

breast reduction

supramedial pedicle

nipple placement

blood supply

liposuction