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The inferior pedicle stresses the skin brassiere by leaving tissue for gravity to affect. (A) Bottoming out is likely to occur with the inferior pedicle whether an inverted T or vertical skin resection pattern is used. (B) I believe that a superior, superomedial, or superolateral pedicle is less likely to cause pseudoptosis with time because the breast tissue can be coned better and the weight of the breast is not being carried by the skin.
