Deaugmentation reduction mammaplasty

Although current trends in breast reduction emphasize scar reduction and improved long-term results, all currently used techniques leave visible scars on the breast.

In this report a technique is described that provides a moderate reduction in breast volume (1 cup size) through a short inframammary incision alone. This method avoids visible scars on the anterior breast.

Excision of a posterior disk of breast tissue, similar to removal of an implant, was performed to reduce a large breast with no significant ptosis and generally good aesthetics that resembles an overaugmented breast. A series of 5 patients underwent excision of posterior breast tissue through a 7-cm inframammary crease incision. Medial and subareolar volume was preserved in an attempt to maintain optimal shape.

In all patients, adequate reduction in breast volume was achieved without exacerbation of ptosis. No complications ensued, and all patients were satisfied with postoperative breast size and shape.

The deaugmentation reduction technique is a simple approach to small to moderate breast reduction through a limited inframammary scar. It is associated with high patient satisfaction and is ideal for a select group of patients.