Evidence-based insights into medial pedicle reduction mammaplasty: A systematic review and meta-analysis.
J Plast Reconstr Aesthet SurgJul 22, 2026 (epub)
Clinical ResearchPlastic Surgery
Joseph M Escandón, Ajani Nugent, Lucas Kreutz-Rodrigues et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the outcomes of medial pedicle breast reduction in 1033 patients. The study found low complication rates, with infection, seroma, and NAC necrosis occurring in 1% of cases. The technique preserved nipple-areola complex sensation and maintained stable breast shape over time, with patient satisfaction ratings between 75-100%.
Key findings
- Pooled complication rates were low: infection 1%, seroma 1%, hematoma 1%, fat necrosis 2%.
- NAC sensation typically recovered by 6-12 months with no long-term deficits.
- Patient satisfaction ranged from 75-100%, with higher ratings for scar appearance.
Why it matters
Understanding the outcomes of medial pedicle breast reduction is crucial for clinicians to inform patients about the benefits and risks associated with this technique, particularly regarding aesthetic results and sensory recovery.