Circumvertical reduction mastoplasty☆

Background: Circumvertical reduction mastoplasty combines periareolar and vertical techniques for the treatment of large breast hypertrophies. Objective: The advantage of circumvertical reduction mastoplasty over the periareolar technique is the occurrence of fewer wrinkles. Its advantage over the vertical technique is a shorter scar that does not extend beyond the new inframammary crease. Methods: In this technique, the areola is transposed attached to the gland and glandular removal is performed as a wedge excision in the lower quadrant and inferior portions of the lateral and medial quadrants. Liposuction is rarely required but may be useful at the end of the procedure and in cases with small asymmetries. Results: Once the surgery is complete, a uniform and harmonious distribution of wrinkles is observed. Postoperative follow-up of 62 patients, ranging from 1 to 6 years, revealed resections of up to 1000 g per breast. All results were satisfactory. Conclusions: Circumvertical reduction mastoplasty offers a reliable and easily performed approach to breast reduction, which is appropriate for removal of between 400 and 1000 g per breast.