Axillary Reduction Mammaplasty

  • Yhelda Felicio

The first description of reduction mammaplasty in the literature was in the seventh century when Durstin [1], in 1669, described breast reduction surgery. Beisenberg [2] treated gynecomastia, but it was only at the beginning of the past century that the major contributions related to the issue began to be cited in the literature such as studies by Arié [3], Mouly and Dufourmentel [4], Strombeck [5], Pitanguy [6], Andrews [7], and Peixoto [8]. These authors brought new contributions to the development of breast reduction techniques. According to many authors, the surgical techniques for treating breast hypertrophy and ptosis should be the ones the surgeon is best at. The negative aspects pointed out for classical reduction mammaplasty are the size of the scars, a fact with which most patients agree.

The results of an interactive survey on mastoplasty carried out at the XXI Sao Paulo Plastic Surgery Day in Campos do Jordao, Sao Paulo, June 2001 showed that patients' major complaints referred to inappropriate scars (59.4%), late postoperative ptosis (16.5%), inadequate shape (11.4%), and breast asymmetry (7.6%); 5.1% did not have any one of the given complaints.


Breast Reduction Reduction Mammaplasty Seventh Century Keloidal Scar Lateral Quadrant 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Durston W: Concerning a very sudden and excessive swelling of a woman's breasts. Phil Trans Vol IV for anno 1669:1047–1049, Royal Society, London 1670Google Scholar
  2. 2.
    Biesenberger H: Deformitaten und Kosmetishe Operationen der Wieblichen Brust. Wien, Maudrich 1931Google Scholar
  3. 3.
    Arie G: Una nueva técnica de mamaplastia. Rev Lat Amer Cir Plást 1957;3:23–28Google Scholar
  4. 4.
    Mouly RY, Dufourmentel C: Plasties mammaires par la méthode oblique. Ann Chir Plast 1961;6:45PubMedGoogle Scholar
  5. 5.
    Strombeck JO: Breast reconstruction. I. Reduction mam-maplasty. Mod Trends Plast Surg 1964;16:237–255PubMedGoogle Scholar
  6. 6.
    Pitanguy I: Surgical treatment of breast hypertrophy. Br J Plast Surg 1967;20(1):78–85CrossRefPubMedGoogle Scholar
  7. 7.
    Andrews JM, Yshizuki MM, Martins DM, Ramos RR: An areolar approach to the reduction mammaplasty. Br J Plast Surg 1975;28(3):166–170CrossRefPubMedGoogle Scholar
  8. 8.
    Peixoto G: Reduction mammaplasty. Plast Reconstr Surg 1984;8:231–236Google Scholar
  9. 9.
    Felicio Y: Mamaplastia redutora com incisão periareolar. Presented at Sul Bras Cirurg Plást, in Florianopolis, Santa Catarina 1984, pp 307–311Google Scholar
  10. 10.
    Felicio Y: Periareolar reduction mammaplasty. Plast Reconstr Surg 1991;88(5):789–798CrossRefPubMedGoogle Scholar
  11. 11.
    Felicio Y: Réduction mammaire peri-aréolaire. La Rev Chirurg Esthét Langue Franç 1991;16(64):19–26Google Scholar
  12. 12.
    Felicio Y: Periareolar reduction mammoplasty by Yhelda Felicio. In: Mole B (ed), Actualités de Chirurgie Esthétique. Paris, Masson 1992, pp 91–106Google Scholar
  13. 13.
    Felicio Y: Periareolar reduction mammaplasty. Plast Reconstr Aesthet Surg 1993;74:287–291Google Scholar
  14. 14.
    Felicio Y: Truthfullness and Untruthfullness of the peri-areolar mammoplasty by Yhelda Felicio. In: Mole B (ed), Actualités de Chirurgie Esthétique, 2° série. Paris Masson 1993, pp 161–175Google Scholar
  15. 15.
    Felicio Y: Plastie mammaire de réduction sans cicatrice mammaire, avec radio-chirurgie. La Rev Chir Esthét Langue Franç 1993;18(73):53–58Google Scholar
  16. 16.
    Felicio Y: Mamaplastia redutora via trans-axilar com proximate. In: Tournieux AAB (ed), Atualização em Cirurgia Plástica Estética. Sao Paulo Robe, 1994, pp 371–375Google Scholar
  17. 17.
    Felicio Y: Mastoplastia de reducción por la técnica de Yhelda Felicio. Rev Iberolatinoamericana Cir Plast 1994; 20(2):141–146Google Scholar
  18. 18.
    Felicio Y: Axillary reduction mammaplasty. Ann Plast Surg 2000;45(5):570–571CrossRefPubMedGoogle Scholar
  19. 19.
    FelicioY: Axillary reduction mammaplasty — Yhelda Felicio's technique. Aesthetic Plast Surg 1997;21(4):268–275Google Scholar
  20. 20.
    Felicio Y: Comparison of the inflammatory response to trauma in the inverted Thtechnique and axillary access technique for breast reduction surgery. Rev Soc Bras Cir Plást 2002;17(2):57–68Google Scholar
  21. 21.
    Dartigues L: Chirurgie réparatrice. In Lépine R (ed), Plastique et Esthétique de la Poitrine et de l'Abdomen, Paris 1924, pp 44–47Google Scholar
  22. 22.
    Fournier P: Liposculpture: The Syringe Technique. Paris, Arnette 1991Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Yhelda Felicio
    • 1
  1. 1.Clínica Yhelda FelicionCirugia Plástica e Reconstrutora Rua Professor Dias da Rocha N:1200FortalezaBrazil

Personalised recommendations