Figure 4.

The medial pedicle is a full-thickness pedicle carried down to the breast meridian. The base width measures ∼6 to 10 cm (approximately a one-to-one ratio of length to base width). Although tissue needs to be removed superiorly to allow easy inset of the pedicle, it can be beveled out to help maintain blood supply and also to provide some support behind the nipple-areolar complex. Any attempt, however, to push tissue up to achieve more upper pole fullness will fail and lower pole excess will result instead.