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Nicholson et al. Plast Aesthet Res 2018;5:34 Plastic and
DOI: 10.20517/2347-9264.2018.30 Aesthetic Research

Original Article Open Access

Technical refinements of the modified central
mound breast reduction

Simon Nicholson , Muhammad Adil Abbas Khan , Muhammad Riaz 3
2
1
1 Hand Surgery Fellow, Middlemore Hospital, Otahuhu, Auckland 2025, New Zealand.
2 ST6 Registrar in plastic surgery, NHS Tayside, Dundee DD2 1GZ, UK.
3 Hull and East Riding Hospital, Anlaby, Kingston upon Hull HU10 7AZ, UK.
Correspondence to: Dr. Simon Nicholson, Hand Surgery Fellow, Middlemore Hospital, Otahuhu, Auckland 2025, New Zealand.
E-mail: plasticandhandsurgeon@gmail.com

How to cite this article: Nicholson S, Khan MAA, Riaz M. Technical refinements of the modified central mound breast reduction. Plast
Aesthet Res 2018;5:34. http://dx.doi.org/10.20517/2347-9264.2018.30

Received: 28 Apr 2018 First Decision: 16 Jul 2018 Revised: 10 Aug 2018 Accepted: 20 Aug 2018 Published: 21 Sep 2018

Science Editor: Raúl González-García Copy Editor: Yuan-Li Wang Production Editor: Zhong-Yu Guo

Abstract
Aim: Common pitfalls with existing breast reduction techniques include poor aesthetic outcome, such as development
of a “boxy” breast shape, and pseudoptosis. Presented here are a series of modifications to the technique of central
mound breast reduction, based on previous work, aimed at ensuring consistent aesthetic results which are maintained
in the long-term.

Methods: All patients undergoing bilateral breast reduction by the senior author over a 7-year period were included,
with outcome data collected prospectively. A detailed description of the technique is offered.

Results: One hundred and sixteen patients underwent bilateral breast reduction over the study period. Mean follow-
up was 20.6 months. There were no cases of nipple necrosis or infection requiring antibiotics. There was one post-
operative haematoma which required surgical evacuation. Three patients developed a degree of fat necrosis which was
managed conservatively in two, but required surgical debridement for liquefactive necrosis in one. Results of these
breast reductions at the second post-operative year and beyond are presented.

Conclusion: The technique described offers benefits of improved predictability, consistency and longevity of aesthetic
results over existing techniques. Development of pseudoptosis in particular is effectively delayed. The modifications
described have not been shown to increase the rates of surgical complications.

Keywords: Central, mound, breast, reduction, mastopexy, technique, technical, refinement, modification

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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