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

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!

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.

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