You have gained maximum
CME credits this year.
Your CME credits will reset next year. You can still continue to watch our videos.
We present a 16-year-old female with hypertrophic breasts of bra size 38H, bra strap grooving, and worsening back and posterior shoulder pain limiting activity and affecting posture, who underwent bilateral reduction mammoplasty using the Wise pattern inferior pedicle technique. 998 g of tissue was removed from the patient’s right breast, and 852 g of tissue was removed from the patient’s left breast. The procedure was uncomplicated; however, the postoperative period was complicated by minor skin breakdown at the most inferior portion of the incision along the inframammary fold, as well as some serous drainage that shortly resolved with treatment. Overall, the patient is satisfied with the results of the reduction. She reports comfortably wearing size 38C bras and has noticed significant improvement in back pain, shoulder pain, and bra strap grooving six months after the procedure.
The contributors to this video have no conflicts of interest or financial conflicts to disclose.
1. Kalliainen LK. ASPS Clinical Practice Guideline Summary on Reduction Mammaplasty. Plastic and Reconstructive Surgery. 2012;130(4):785-789. doi:10.1097/prs.0b013e318262f0c0.
2. Wolfswinkel E, Lemaine V, Weathers W, Chike-Obi C, Xue A, Heller L. Hyperplastic Breast Anomalies in the Female Adolescent Breast. Seminars in Plastic Surgery. 2013;27(01):049-055. doi:10.1055/s-0033-1347167.
3. Purohit S. Reduction mammoplasty. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India. 2008;41(Suppl):S64-S79.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2825129/
4. Hall-Findlay EJ, Shestak KC. Breast Reduction. Plastic and Reconstructive Surgery. 2015;136(4). doi:10.1097/prs.0000000000001622.
5. Siy R, Khan K, Izaddoost S, Brown R. The Superomedial Pedicle Wise-Pattern Breast Reduction: Reproducible, Reliable, and Resilient. Seminars in Plastic Surgery. 2015;29(02):094-101. doi:10.1055/s-0035-1549052.
6. Greco R, Noone B. Evidence-Based Medicine. Plastic and Reconstructive Surgery. 2017;139(1). doi:10.1097/prs.0000000000002856.
7. Sachs D, Szymanski KD. Breast, Reduction. [Updated 2017 Oct 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 Jan-.
Be the first to review this video.
Reviews require sign-in. Sign in to write one.
Have a question about this case? Send a note to Dr. Alexandrea Kim — they'll reply by email.
This is approved for 0.5 AMA PRA Category 1 Credit™ via CineMed (ACCME / ACPE / ANCC). The two viewing modes are different — pick what fits your time.
"*" indicates required fields