[Standard technique of breast reduction surgery with vertical scar]

In 1991, we started to use a new surgical technique for breast reduction with a single vertical scar incision as developed by Marchac, Lassus, and Lejour. The operative procedure wsa changed step-by-step according to the following significant modifications: Simultaneous liposuction is carried out only in the presence of extensive axillary fatty tissue. The undermining of the glandular tissue is limited to the extension of glandular resection. The number of glandular sutures is significantly reduced. A central fixating suture to the pectoral fascia is performed only in the presence of extreme ptosis. The positioning of the nipple-areola complex represents the final step of the reduction procedure after the resection of the glandular tissue. Based on our experience with more than 800 breast reductions, this technique is considered to be a safe standard procedure for nearly all breast sizes.