How to Preserve Complete Breastfeeding Function in Breast Reduction and Lifting Mammaplasties

Breastfeeding has been shown to provide considerable benefits to newborn and maternal health. The World Health Organization recommends exclusive breastfeeding of babies up to six months of age. It is well known that breast reduction techniques that preserve the column of subareolar breast tissue have a greater likelihood of successful postoperative breastfeeding. The best representative of these techniques is the Total Posterior Pedicle breast reduction which was described by Richard Moufarrege since 1982. It consists of dissecting the skin away from the breast tissue offering free access to all breast quadrants. This technique is known for its robust blood supply to the nipple areolar complex, the preservation of the nipple areolar complex sensation, and for its low rate of long-term complications such as pseudoptosis. In this article, we demonstrate that the Moufarrege Total Posterior Pedicle preserves breastfeeding function in women undergoing breast reduction using this technique.