Dermoadipose and adenadipose flaps in mammoplasty

After the follow-up of breasts operated on using several breast reduction techniques that resect the glands removing its central section, we noted in the last postoperative period that with the passage of time, these breasts developed a depression on the upper pole causing a somewhat ungraceful profile and the visual impression that the breast was ptotic. It was noted that the techniques used were most concerned with mammary gland removal, without specific regard to the upper pole of the breast. Searching for an aesthetic solution for the construction and maintenance of the upper pole of the breast, we have developed two techniques in which fixation of mammary tissue flaps to the third costal arch assures both a graceful breast and pexis of the breasts. This report presents an analysis of the results of the author's experience.