ESTRO Multidisciplinary Management of Breast Cancer 2017

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.