An analysis of 300 cases of reduction mammaplasty done utilizing a per
iareolar approach at the University Hospital of the State of Rio de Ja
neiro and our own private clinic during the period from September 1989
through October 1995 is presented in this article. The technical evol
ution of this procedure is described in detail as well as how the comp
lications were eliminated and the aesthetic results improved. A thorou
gh analysis of recommendations and comments on the results are made by
the authors.