title: [Macromastia surgical therapy].
abstract: OBJECTIVE
  Macromastia is a social health problem that causes high discomfort in the patients. Goals of reduction mammaplasty are to alleviate physical emotional and psychosocial problems and to restore a conical shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with superior pedicle.
  
  
  METHODS
  Our method combines advantages of round block with vertical scar, using a dermal flap that is fixed to the new mammary crease. We analyzed skin and glandular resection customizing the mammaplasty.
  
  
  RESULTS
  The dermal flap works against the weight of residual tissue, maintaining the crease at the desired position with natural result. Benefits are an excellent projection, short scar, suitable reshaping and patient satisfaction.
  
  
  CONCLUSIONS
  This technique can be used for mild to severe hypertrophy with various degrees of ptosis. It results in a successful aesthetic outcome with minimal scarring suitable breast remodelling and natural long-lasting projection.
authors.affiliation: Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza" Policlinico Umberto I, Rome, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Tarallo
authors.forename: Emanuele
authors.initials: E
authors.lastname: Cigna
authors.forename: Pasquale
authors.initials: P
authors.lastname: Fino
authors.forename: Federico
authors.initials: F
authors.lastname: Lo Torto
authors.forename: Nicolò
authors.initials: N
authors.lastname: Scuderi
mesh_terms: D001940:Breast / Q000002:abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D016462:Mammaplasty / Q000379:methods; D008875:Middle Aged