Inferior pedicle or superomedial pedicle breast reduction for preserving breastfeeding ability?

Question

I am in need of a breast reduction. I have no kids yet, however I would like to have kids and breastfeed sometime in the next 10 years. While I know it is impossible to guarantee the ability to breastfeed, I was wondering if there was a significant difference in ability to breastfeed based on which pedicle technique is used. Would the superomedial pedicle technique provide as much chance to breastfeed as the inferior pedicle technique? Which technique has the best chance for breastfeeding?

M. Scott Haydon, MD · Answer

Thanks for your question. There are no studies that demonstrate a superior ability to breast feed based on the type of pedicle. More tissue is normally removed with the Wise pattern (inferior pedicle). I prefer the superior medial pedicle because I feel like the shape is better, there is less bottoming out and better healing. In a very large breast, or one with a nipple to crease distance of 14cm or greater I think the inferior pedicle is more appropriate. Best of Luck!

Jonathan Weiler, MD · Answer

Great question, as far as I know there is no difference in breast feeding outcomes between the two.....it would be important to preserve adequate breast tissue behind the Nipple and as long as Free Nipple Grafting technique is not used they should be equal, good luck in you procedure.

Kemil Issa, MD - Account Suspended · Answer

Hello, Your question is very interesting and a difficult to answer, right now several breast reduction techniques exists, the one that is demonstrated that affects breastfeeding and is not possible to breastfeed is the nipple graft, other techniques that use pedicles usually maintain this function of the breast, personally with the technique that  I use the most which is superior pedicle with another inferior pedicle of mammary tissue (lyacir Ribeiro), I have seen that patients can breastfeed after mammoplasty most of the time, But I cannot give a %.Regards, Dr Kemil Issa

Inferior pedicle or superomedial pedicle breast reduction for preserving breastfeeding ability?

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Inferior pedicle or superomedial pedicle breast reduction for preserving breastfeeding ability?

Answers (3)

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.