Dual perfusion superomedial pedicle in reduction mammaplasty - A prospective intraoperative radiographic study.

Moscarelli, Jake; Carney, Martin J; Zhao, K Lynn; Evans, Brogan; Card, Elizabeth B; Mookerjee, Vikram G; Alper, David P; Butler, Paris D · J Plast Reconstr Aesthet Surg · 2025

prospective_cohort · Level II

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Abstract

This study uses intraoperative ultrasound to confirm dual perfusion to the nipple-areolar complex from internal mammary artery and intercostal artery perforators using a superomedial pedicle technique. Findings presented include color-Doppler ultrasound images, anatomical illustration, operative information, and postoperative outcomes. Dual blood supply may improve SMP safety in patients with extremely large and/or ptotic breasts.

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