REDUCTION MAMMAPLASTY AND CORRECTION OF PTOSIS - A PERSONAL TECHNIQUE

New upper pedicle reduction mammaplasty and mastopexy techniques are p resented. The surgical steps are described point by point. An analysis is made of the results obtained in 25 patients who underwent surgery between November of 1987 and November of 1988 and were examined in Dec ember of 1990 with a mean follow-up of 31.5 months. An assessment was made of the postoperative ptosis, which was minimal in 76 percent of p atients. The overall assessment of breasts was satisfactory (good mamm ary morphology and a correct position of the nipple-areola complex). N ipple-areola complex sensitivity was unchanged in 80 percent of patien ts. Good-quality inframammary scars were observed in 92 percent of pat ients, with scar length never exceeding 4 cm. The overall complication rate was 32 percent, but only 12 percent were major complications. Th e technique presented is excellent when the quantity of glandular tiss ue to be removed is less than 400 gm, and it is not therefore recommen ded for gigantomasties.