Demonstrates the safety of superomedial pedicle breast reduction in patients with long sternal notch-to-nipple distances, suggesting technique modifications can reduce complications.
SMP is safe in patients with SN-N ≥40 cm and large resection weights. These findings challenge the notion that SMP is contraindicated for SN-N >35 cm and suggest that, with technique modifications, it can be safely used in longer SN-N distances without increased complications.
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Episalla et al. (2026) studied this question.
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