Current aspects of therapeutic reduction mammaplasty for immediate early breast cancer management: An update

Figure 8 Schematic illustration of the superior-medial pedicle technique according to the degree of breast ptosis and the rotation of the pedicle. With the objective of improving the nipple-areola complex (NAC) vascularization and to avoid pedicle torsion, it is important to define the right position of the NAC pedicle according to the degree of breast ptosis and hypertrophy. It is important to locate the pedicle lower down when the degree of ptosis and migration of the NAC is greater to avoid marked rotation.