Although the vertical technique using the medially based pedicle has its limitations, it has not only reduced scarring in breast reduction surgery, it has given patients a more pleasing shape and a longer-lasting shape than what I had achieved with the inverted T, inferior pedicle approach. Nipple sensation and breastfeeding appear not to be compromised any more than in other techniques. The procedure is faster, blood loss is less, and recovery for the patient is shorter. On the other hand, there are size limitations to the vertical breast reduction and the revision rate is slightly higher. There is a learning curve with all forms of breast reduction surgery, but the benefits outweigh the disadvantages.
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