title: Breast reduction: personal technique.
abstract: BACKGROUND
  Macromastia is a health problem that requires the coordination of surgical and medical specialists. Goals of reduction mammaplasty are to alleviate physical, emotional and psychosocial discomforts 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 a 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 remodeling and natural long-lasting projection.
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Roma, Italia.
authors.forename: P
authors.initials: P
authors.lastname: Fino
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Roma, Italia.
authors.forename: G
authors.initials: G
authors.lastname: Di Taranto
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Roma, Italia.
authors.forename: M
authors.initials: M
authors.lastname: Toscani
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Roma, Italia.
authors.forename: N
authors.initials: N
authors.lastname: Scuderi
mesh_terms: D000328:Adult; D001940:Breast / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D002921:Cicatrix / Q000473:pathology; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000473:pathology / Q000601:surgery*; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D011184:Postoperative Period; D013524:Surgical Flaps
keywords: Breast reduction; Custonmade technique; Dermal flap; Gigantomastia