Useful Reduction Mammoplasty Technique in Oncoplastic Breast Surgery and Reconstruction

Figure 4

Preoperative design and pedicle selection in reduction mammoplasty using the inverted T technique. (a) The superomedial pedicle design is typically used in patients with an intact blood supply on the nipple-areolar complex. (b) In patients with breast cancer adjacent to the superomedial pedicle, the inferior pedicle design is used. The distance between the sternal notch and the upper margin of the neo-nipple-areolar complex is 18–21 cm (green dotted line). The thick red line represents the midline, and the thin red lines represent skin tissue margins.