Background: Transposing the nipple-areola complex is a challenge at reduction mammaplasties, particularly when the distance between the sites is big and great amount of breast tissue has to be removed. Many techniques are used, all have to fulfill the following conditions: the blood supply and sensation of the nipple have to be preserved and closure must be tension-free.
Objective: To evaluate how the superomedial pedicle for nipple transposition fulfills the above requirements.
Method: Fifteen reduction mammaplasties performed in this way (resection weight: 435 g/breast), postoperative patient examinations with emphasis on sensation.
Results: Nipple viability was good without necrosis, retaining sensation was also good with no loss of sensation.
Conclusion: The technique is safe, giving good cosmetic results.