Arbeláez, SergioArbeláez, Sergio A.Eslait, Rosa C.Lacouture, Carlos J.2025-02-042025-02-042024Arbeláez, Sergio MD*; Arbeláez, Sergio A. MD†; Eslait, Rosa C. MD*; Lacouture, Carlos J. MD†. Superior Pedicle Inverted T-reduction Mammaplasty with Short Horizontal Scar. Plastic & Reconstructive Surgery-Global Open 12(2):p e5625, February 2024. | DOI: 10.1097/GOX.000000000000562521697574  (Electrónico)https://hdl.handle.net/20.500.12442/16213Background: Superior pedicle breast reduction is a very popular technique among plastic surgeons. This technique has had many variations looking for fewer complications and better long-lasting results. The aim of this article is to present a novel technique of breast reduction, making variations in the design of the periareolar incision, using a superior pedicle with a constant vertical incision of 5 cm and a shortened horizontal incision. Methods: The superior pedicle inverted T-mammoplasty with a shortened horizontal scar technique was performed in 1200 patients who underwent surgery between 2010 and 2023; follow-up examination was carried out for an average of 1 year (3 months to 3 years). A patient satisfaction survey was conducted. Results: Patient satisfaction rate was 99%. There were no cases of total necrosis of the areola–nipple complex, 2.7% of the patients presented partial necrosis of the areola– nipple complex, 1.4% of the patients presented local infection, 1.7% presented dehiscence at some point of the vertical or horizontal suture, 4% of the patients presented a widened scar, 8% of the patients presented alteration in the sensibility of the areola–nipple complex, and 0.6% of the patients presented hematoma. With this technique, a rise of the areola–nipple complex of up to 22cm was achieved. Conclusions: The superior pedicle inverted T-mammaplasty with shortened horizontal scar technique showed a lower number of surgical complications compared with other techniques previously used for breast reduction, even when applied in gigantomasty. It provides lasting results and a high rate of patient satisfaction. (Plast Reconstr Surg Glob Open 2024; 12:e5625; doi: 10.1097/GOX.0000000000005625; Published online 20 February 2024.)pdfengAttribution-NonCommercial-NoDerivs 3.0 United Statesinfo:eu-repo/semantics/openAccessinfo:eu-repo/semantics/otherhttps://doi.org/10.1097/GOX.0000000000005625https://journals.lww.com/prsgo/fulltext/2024/02000/superior_pedicle_inverted_t_reduction_mammaplasty.55.aspx