A versatile breast reduction technique: conical plicated central U shaped (COPCUs) mammaplasty

Area of Science:

• Plastic Surgery
• Breast Surgery

Background:

• Numerous reduction mammaplasty techniques exist, yet an ideal method remains elusive.
• Key goals include preserving breast function (lactation, arousal), achieving optimal aesthetics with minimal scarring, and avoiding complications.

Purpose of the Study:

• To introduce and evaluate a new versatile reduction mammaplasty technique: conical plicated central U shaped (COPCUs) mammaplasty.

Main Methods:

• The COPCUs technique involves central plication for superior pole fullness and a central U-shaped flap for nipple-areolar complex (NAC) safety.
• This method aims to preserve lactation and nipple sensation while achieving a youthful breast appearance and preventing pseudoptosis.

Main Results:

• Forty-six patients underwent the COPCUs mammaplasty, reporting high satisfaction with both functional and aesthetic results.
• No major complications, significant changes in nipple innervation, or need for scar revision were observed. Postoperative lactation was successful in six patients who became pregnant.

Conclusions:

• The COPCUs mammaplasty is a versatile, safe, and reliable technique.
• It minimizes scarring, avoids disadvantages of previous methods, maximizes functional preservation, and is suitable for all breast sizes.