Aesthetic Plastic Surgery

, Volume 43, Issue 6, pp 1480–1488 | Cite as

Breast Reduction: 33 Years Using a Single Central Block

  • João ErfonEmail author
  • Claudio Mauricio M. Rodrigues
  • Aleksandra Markovic
Original Article Breast Surgery



Since 1985, the author has been using the single central block technique for breast reduction and mastopexy, prioritizing the good relation between the final breast shape and the length of the scars, different from other authors who emphasize only the shape of the breast (Peixoto in Plast Reconstr Surg 65(2):217–225, 1980; Aesthet Plast Surg 8:231–236, 1984) and others who have drawn attention to the length of the scars (Arié in Rev Latinoam Cir Plast 3:23–31, 1957; Bozola in Plast Reconstr Surg 85:728–738, 1990; Sepúlveda in Rev Bras Cir 71(1):11–18, 1981). In this study, the author describes the use of a single central block of the mammary tissue and the nipple–areolar complex (NAC), dissected from the skin flaps and based on the superior vascular pedicle for reduction mammoplasty and mastopexy (Erfon et al. in Annals of the international symposium recent advances in plastic surgery, São Paulo, 1989; Hinderer (ed) Plastic surgery, Elsevier, Madrid, 1992; Proceedings of the 65th annual scientific meeting of the American society of plastic and reconstructive surgeons, Dallas, 1996).


A retrospective study was performed, evaluating patients who underwent breast reduction and mastopexy using the single central block technique from July 1985 to December 2018 by a senior author.


A total of 2097 procedures were performed using this technique, 1556 being reduction mammoplasties and 541 mastopexies. The mean patient age was 44, and the mean weight of tissue resected was 455 g. Fat necrosis on the distal area of the flap was observed in 47 cases (2.24%). Hematoma was observed in 6 patients (0.28%). Surgical revisions were undertaken in 75 patients (3.57%). Hypertrophic scars occurred in 12 of the cases (0.57%). Dehiscence in the inverted “T” scars occurred in 78 of the surgeries (3.71%).


This technique allows the surgeon to easily form a good cone shape of the breast, repositioning the NAC and preserving its vascularization and sensation without tension on the skin flaps sutures, resulting in smaller and better scars.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Breast reduction Mammoplasty Mastopexy Single central block Nipple–areolar complex (NAC) Superior vascular pedicle 


Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interest, commercial associations or financial interests to disclose.

Ethics Statement

This study was performed in accordance with the 1964 Helsinki Declaration for research in human subjects and its later amendments or comparable ethical standards. All procedures performed in studies involving human participants were in accordance with ethical standards of the institutional research committee.

Informed Consent

All patients provided written informed consent for surgery and use of photographs.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.FortalezaBrazil

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