Reduction mammaplasty for moderate macromastia.

The author reports his experience treating moderate macromastia using the inferior dermal pedicle technique in 23 patients. The skin flap design is bases on anatomical points along the inframammary line and on the areola. Nipple-areolo position is determined after skin closure about the breast mound, eliminating the guesswork in selecting the new site. Tissue resections ranged from 175 to 1,200 gm per breast and averaged 572 gm per breast. My experience indicates that the method is best suited to instances of moderate macromastia but is applicable over a wide range.