The dermolipectomy approach for augmentation mammaplasty

Breast augmentation with silicone prosthesis through a dermolipectomy approach, its advantages (geometric preoperative planning, abdominal reduction in all three dimensions, providing an improved waistline and a navel of normal aspect, short bikini covered scar of good quality, breast augmentation without regional scars), and limitations (exclusive of major abdominal adiposites and moderately or severely ptotic, hypoplastic breasts) are discussed, and the technique is described. The results obtained with the procedure are considered satisfactory for both patient and surgeon, and are recommended for cases of abdominal adiposity combined with unilateral or bilateral breast hypoplasias.