[The modeling mammectomy with free graft of the areolar complex (author's transl)]

For big breasts I no longer use classic Strõmbeck, McKissock or Dufourmentel techniques, because we can be faced with problems of the areolar complex. On the other hand to achieve a good, long lasting result we need to realize a very important reduction. The drawing is done high at 17 +/- 1 cm with the long Wise pattern and the McKissock lazy-S. Only the upper part of the dermis flap is prepared for bed of the areolar complex and for reinforcement of the vertical part of the T scar. This technique of modeling mammectomy is perhaps one of the quickest and safest method of breast reduction. We present our experience after 50 bilateral reductions.