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Minimal-Scar Breast Reduction and Mastopexy

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Abstract

Background

Classic breast reduction and mastopexy techniques leave a vertical scar, but are difficult to apply in cases requiring a large amount of breast tissue removal. This report describes a new breast reduction technique using a vertical incision for resections involving less than 600 g of tissue removal and an inverted T incision for larger resections. Results for the new technique are reported.

Methods

For 800 women, the reported technique was used for reduction mammaplasty (n = 640) and mastopexy (n = 160). Peridural anesthesia was used for 90% of the patients, and general anesthesia for 10%. The minimum follow-up period was 6 months for 90% of the patients. All the patients underwent mammary x-ray and ultrasonography before surgery.

Results

A short scar was obtained for all the patients. A new intervention for breast reduction was chosen by 16 patients (2%). For all the patients followed, the immediate results (projection of the areola and upper pole) remained unaltered at a late follow-up evaluation. There were no cases of infection or seroma. Hematoma occurred in 8 patients who underwent unilateral breast reconstruction, and 16 patients experienced temporary reduced sensitivity.

Conclusions

The new technique was effective in leaving a short scar and maintaining immediate results in the long term. Liposuction limited to the lateral chest wall prevented complications associated with breast tissue.

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Authors and Affiliations

  1. Rua Dr. Barbosa Gonçalves, 660 Barrio Chácara das Pedras, Porto Alegre, RS, 91330-320, Brazil

    Miriam Pedron M.D.

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  1. Miriam Pedron M.D.
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Correspondence to Miriam Pedron M.D..

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Pedron, M. Minimal-Scar Breast Reduction and Mastopexy. Aesth Plast Surg 29, 261–273 (2005). https://doi.org/10.1007/s00266-003-0081-2

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