Breast reduction surgery has been used for the purpose of obtaining a natural cone shape for the breast, minimizing scars, and maintaining breast physiology. An important factor influencing the selection of the type of procedure was the ease of
predicting the eventual size of the breast mound and the final location of the nipple-areolar complex. Several variations of the Round block periareolar mammaplasty(Benelli) were described, but not enough to solve the problems of mound flattening
and
early ptosis. The thesis is set forth that: (1) use a circumareolar incision to minimize the scar, (2) adopt the central breast pedicle to preserve the physiology and make significant resection, and (3) introduce the self-implant concept to
produce
conical shape and prevent early ptosis, also predict the eventual size of breast easily. A personal series of 44 consecutive cases( 88 breasts) operated on from 1994 through 1996 is reviewed. The amount excised ranged from 150g-1200g per breast
(mean
423 g). The majority of patients were pleased with their breast size, shape and especially scars. There were few complications; one skin flap necrosis (1/88), one partial nipple-areolar necrosis(1/88) and 12 sensory disturbances of nipple-areolar
complex (12/88). This series proves that circumareolar reduction mammaplasty with self-implant technique can be used safely in significant resections for breast hyperophy, respecting both aesthetic and functional aspects.
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