Bilateral Breast Reduction

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Blood Supply of the Breast

Understanding the breast’s blood supply is critical to understanding this procedure. The breast is supplied by three main arteries

  • Internal Mammary Artery (and their intercostal perforators)

  • Thoracoacromial Artery

  • Lateral Thoracic Artery

There are an array of incision patterns and breast pedicles to choose from — with each variable independent of the other

Breast Pedicle

Superomedial: 2nd & 3rd Intercostal Perforators of IMA

Inferior: 4th & 5th Intercostal Perforators of IMA

Central: Central Perforators through Chest wall

Illustrations by Mike Boctor