[Cutaneous congruence in vertical scar mammaplasty with preservation of mammary base. Geometrical bases and initial...

After a geometrical analysis studying the principle of the "inverted T" scar in mammoplasties and particularly the significance of the horizontal limb of the "T", the authors have developed a mammoplasty technique without a horizontal scar, based on the concept of preservation of the mammary implantation basis. Application of this principle to a preliminary series of 92 breasts in 48 patients over a period of two years enabled the authors to perform cone resection of the mammary gland, while producing a congruent vertical scar not extending onto the inframammary sulcus. This technique, in contrast with other vertical scar mammoplasty techniques, does not generate any skin excess in the inframmary sulcus and avoids the need for skin resorption devices (cutaneous undermining, frowns), thereby decreasing the risk of morphological distortion and unsightly scars.