Reduction mammaplasty and correction of ptosis: dermal bra technique

A new technique for reduction mammaplasty or mastopexy techniques is presented, which the authors call the dermal bra. The surgical steps are described point by point. A series of 36 patients underwent reduction mammaplasty or mastopexy by means of this technique from January of 1998 to April of 2001. Thirty-two patients were followed; 28 presented satisfactory results, including a good mammary appearance, invisible scar, good and stable breast projection, and lasting results. Nipple-areola complex sensitivity was unchanged in all 32 patients. The overall complication rate was 12.5 percent (one patient suffered purse-string suture exposure, and three had a cutaneous rend). The advantages and disadvantages of this technique are discussed.