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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