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Ptosis
•
Pedicle length may be a consideration in very large breasts.
•
For a superior pedicle, elevating the nipple by 6 cm may be
the upper limit. If more elevation is required a medial or
inferiorly based flap is used.
•
Very large ptotic breasts may be better with a broad inferior
pedicle
•
Pedicles may be ‘supercharged’, i.e base procedure around
an inferior pedicle but leave another de-epithelialised
pedicle attached.