Dual perfusion superomedial pedicle in reduction mammaplasty - A prospective intraoperative radiographic study.

This study uses intraoperative ultrasound to confirm dual perfusion to the nipple-areolar complex from internal mammary artery and intercostal artery perforators using a superomedial pedicle technique. Findings presented include color-Doppler ultrasound images, anatomical illustration, operative information, and postoperative outcomes. Dual blood supply may improve SMP safety in patients with extremely large and/or ptotic breasts.