A bridge of tissue that connects one area of the skin to another is called a pedicle.  The pedicle is used to bring blood and nerve supply to the nipples in breast surgeries. As it is depicted in the animations, the breast is supplied by the lateral thoracic and internal mammary arteries. The animations explain the classification of the breast very clearly. The superior pedicle is formed by the 2nd inter-costal artery, preserving 3-4cm of glandular tissue on either side. The rest of the glandular tissue can be incised, as clearly shown. The medial pedicle is formed by the 3rd inter-costal artery. The base of the pedicle extends from the 4 to 11 o’clock position. The Inferior pedicle is supplied by the 4th and the 5th inter-costal arteries. 4th inter-costal artery enters from the deep surface whereas the 5th inter-costal artery is a surface feeder. The central pedicle is formed by the deep 4th inter-costal artery. An island of central tissue is supplied by this artery. The lateral pedicle is preserved by the superficial branch of the lateral thoracic artery. This pedicle begins at the 11 o’clock position and ends at the 8 o’clock position. All the areas that can be incised are visually demarcated in this animation.

How may we help you?