Avoiding the Unfavorable Outcome with Wise Pattern Breast Reduction.

Wise pattern breast reduction remains the most popular method of performing moderate- to large-sized breast reductions in the United States. Shape distortion after breast reduction can be a result of design flaw, execution of technique, or the result of postoperative complications. This article focuses primarily on optimal design and intraoperative techniques for prevention of shape distortion. By carefully considering the design of the skin resection pattern, choosing and designing an appropriate pedicle, preventing skin necrosis, and managing scars, shape distortion after Wise pattern breast reduction can be minimized.