Innovative Preoperative Mathematical Suggestion for Vertical Incision in Mammaplasty

Summary: One of the most important and challenging decisions in reduction mammaplasty and mastopexy is the choice of incision. Although an existing algorithm considers the sternal notch–nipple distance, patient age, and skin quality to guide selection, it remains incomplete. The superior breast border–inframammary fold distance provides a more accurate assessment of the actual amount of skin and tissue. By analyzing this measurement—along with its components and the patient’s skin quality—we can determine the optimal incision type using the mathematics of distances and breast geometry. In brief, a superior breast border–inframammary fold distance of up to approximately 32 cm is generally suitable for a vertical scar mammaplasty.