Bilateral Breast Reduction With Triple Pedicle Flap Technique And Vertical Scar Successfully Performed At RG Hospitals, East Of Kailash
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Faculty:
Dr. Neerja Gupta (Senior Consultant – Breast Surgical Oncology)
Diagnosis:
Bilateral Breast Macromastia
Treatment Performed:
- Bilateral Reduction Mammoplasty
- Triple Pedicle Reduction with Superomedial and Lateral Pedicle
Key Highlights of the Case:
- Vertical scar incision placed, soft tissue release done
- Breast pedicles raised – superomedial and lateral
- Triple pedicle flap created using the superomedial artery and lateral thoracic artery perforator for enhanced vascularity of nipple areola
- Flap inset confirmed with ICG (Indocyanine Green) dye for nipple viability
- 2 kg of breast tissue removed bilaterally
- Hemostasis achieved, closure done in layers for optimal healing
- No intra-operative complications reported
- Patient was discharged the next day, and postoperative recovery was uneventful
Postoperative breast size reduced from 44G to 36C
This case exemplifies the use of advanced flap-based mammoplasty techniques for symptomatic macromastia. The successful use of vascularity-confirming technology like ICG further demonstrates the commitment of RG Hospitals, East of Kailash, to ensuring both surgical precision and optimal cosmetic outcomes.
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