[Does the choice of mammoplasty pedicle influence the shape of reduced the reduced-sized breast?].

Thirty seven patients with breast hypertrophy were restrospectively reviewed with a mean follow-up of 2 years. Reduction mammoplasty was performed with 3 different pedicles (superior, inferior and both) involving a glandular resection of a least 500 g on each side in all cases. The results were evaluated according to both objective and subjective criteria. The choice of pedicle had a considerable influence on the results. The vertical limb usually increased with time (months), although its intraoperative length was 5 cm. The increasing length of the vertical limb varies according to the type of pedicle chosen. The mean length increase was 1.52 cm; 4.18 cm; 4.15 cm for superior, inferior, and both pedicles respectively. The different increase was statistically significant (p < 0.001) when the technic involving a superior pedicle was compared to a technic involving an inferior pedicle. No statistically significant difference was observed between technics using the inferior and both pedicles. A superior pedicle technic entails the lowest increase of the vertical limb length which in turns leads to better long-term cosmetic results.