The Aufricht geometric breast reduction revisited

Area of Science:

• Plastic Surgery
• Surgical Techniques

Background:

• Geometric breast reduction concepts were introduced by Dr. Gustrave Aufricht nearly 50 years ago.
• Aufricht's early work detailed breast reduction markings and a central- and inferior-based pedicle technique for nipple viability.

Purpose of the Study:

• To present 25 years of experience with Aufricht's geometric breast reduction technique.
• To analyze the technique's components and necessary modifications for consistent application and results.

Main Methods:

• The author utilized a central- and inferior-based pedicle technique for breast reduction over 25 years.
• The technique is custom-applied without precut templates, allowing for easy patient adaptation.
• Nipple viability is preserved, and nipple positioning is achieved easily without intraoperative position changes.

Main Results:

• The technique ensures uniform application and consistent, good aesthetic results.
• Skin incisions rarely require operating room adjustment.
• Efficient operating room time is a key characteristic of this method.

Conclusions:

• The described geometric breast reduction technique, refined over 25 years, provides reliable and excellent outcomes.
• It is an adaptable, efficient method for breast reduction surgery.
• The technique facilitates precise nipple positioning and preserves viability effectively.