Circumvertical reduction mammaplasty

The main indication of the circumvertical technique is the removal of 400-1000 mg of breast tissue. It is also an intermediate method and an alternative between the periareolar and the vertical techniques. The advantages of the circumvertical technique is that it is simple and fast to accomplish, only the inferior half of the gland is operated, there is no transection of the lactiferous ducts, at the end of the surgery there is an harmonious redistribution of the pleats, the vertical scar never crosses the submammary fold, and at the end of the surgery an acceptable result is almost always observed. The posterior skin retraction will improve this initial result even more. The Marcaine infiltration allows some hours of postoperative pain relief. In brief, this technique is ideal for young women because it neither distorts the remnant anatomy nor alters the future lactation, being a good alternative to moderate and large hypertrophies.