L-wing superior pedicle vertical scar mammaplasty

Abstract

The multitude of different techniques and modifications with regard to pedicle choice, scar position, and length or breast shaping reflects the challenge for every plastic surgeon to achieve an aesthetic shape with long-term stability and minimal scars in mammaplasty and mastopexy. The past decade has been a witness to a paradigm shif in the treatment of macromastia and breast ptosis [1]. The wise pattern, inverted Thinferior pedicle breast reconstruction with of en clearly visible scars can no longer be accepted as the state of the art [2], as aesthetic improvement and scar reduction has become the new front line in breast reduction surgery [3]. Still, vertical scar techniques have not gained popularity in the United States as rapidly as in the Europe and South America. The development of the purely vertical incision mam-maplasty was introduced by Lötsch [4] and Dartigues [5] for mastopexy surgery. It was reintroduced for breast reduction by Arié [6], modified by Lassus [7, 8], and extended by Marchac and De Olarte [9]. Further, Lejour [10, 11] popularized a technique derived from Lassus. She combined a superior pedicle for the areola and a central resection for the breast reduction associated with liposuction and wide skin undermining along the vertical scar. Over the past years there has been greater interest in short scar breast surgery, with increasing appreciation of the vertical techniques for reduction and mastopexy. The L-wing superior pedicle vertical scar technique has become the standard mammaplasty technique in the authors university hospital over the past 8 years. © 2009 Springer-Verlag Berlin Heidelberg.