The author approaches circumareolarar aesthetic mammoplasty using this technique. Internal treatment of the breasts may be carried out by keel resection of the side pillars and Mastopexy (previously published work), or by the technique presented here - forming a superior pedicle flap of fatty and glandular tissue, 5cm wide and of variable length, introducing it into the upper pole for added projection and volume and bringing together the lateral pedicles mastopexy by continuous suture to the muscle fascia, continuing the suture up to near the entrance at the base of the flap in the areola and ending about 2.5 centimeters from its base. Shaping can be carried out in the new breasts, if required, either superiorly or inferiorly, in order to improve their shape(tapering). Liposuction can also be performed to achieve better cosmetic results.
Superior Pedicle Reduction Mammoplasty Supported by Central Glandular Pedicle
