A mammometric comparison of modiifed Robertson versus Wise pattern inferior pedicle reduction mammoplasty

Aim: The advent of 3D photoimaging and mammometrics has allowed for quantitative, volumetric breast analyses. This study uses 3D photoimaging and mammometrics to compare the postoperative morphometric outcomes of the modiifed Robertson technique to the more traditional Wise pattern inferior pedicle technique. Methods: Inferior pedicle reduction mammoplasty was performed using either a Wise pattern or modiifed Robertson skin incision. 3D photography and analysis were done at 1-3 months and 6-12 months postoperatively. Results: There were 14 breasts in the modiifed Robertson group (ROB) and 24 breasts in the Wise pattern group (WISE). There were no signiifcant differences in demographic data or amount of tissue resected. At 6-12 months, the modiifed Robertson cohort demonstrated increased superior pole fullness (62.9%ROB vs. 58.3%WISE, P=0.05). The Wise cohort, however, maintained greater maximum breast projection (5.52 cm ROB vs. 6.54 cm WISE, P=0.01) and increased medial pole fullness (29.6%ROB vs. 46.9%WISE, P