Lassus C
Plast Reconstr Surg. 1996 Feb;97(2):373-80. doi: 10.1097/00006534-199602000-00015.
In 1964, I started using vertical mammaplasty without a submammary scar for all breast reductions. This technique was based on the following principles: a central wedge resection, an upper pedicle for the areola, no undermining, and a vertical scar to finish off. Because of the drawings, there was a pitfall: In large breasts, the inferior portion of the vertical scar was showing below the submammary fold. This is why, in 1977, I modified the technique with the addition of a short horizontal scar to eliminate this drawback. At the time, I was respecting the dogma that the length of a vertical scar should not exceed 5.5 cm. Taking a look again at my patients after a few months, I was surprised to find that the horizontal scar had moved upward. This led me to verify that the distance between the inferior border of the areola and the inframammary fold was variable with the size of the breast. I was then convinced that it was possible to finish every mammaplasty with a vertical scar. Thus I modified the procedure again to make the vertical scar stay above the inframammary fold in almost all patients. In a personal series of 710 patients (1350 breasts) operated on from 1964 to 1994, mastopexy was performed in 439 breasts and breast reduction was performed in 911 breasts. There were few complications. This long experience with vertical mammaplasty indicates that it is a safe procedure giving long-lasting results.
1964年，我开始对所有乳房缩小手术采用不留乳房下皱襞瘢痕的垂直乳房成形术。该技术基于以下原则：中央楔形切除、乳晕上蒂、不进行皮下剥离以及以垂直瘢痕收尾。由于绘图的原因，存在一个问题：在大乳房中，垂直瘢痕的下部会出现在乳房下皱襞下方。这就是为什么在1977年，我对该技术进行了改良，增加了一条短的水平瘢痕以消除这一缺陷。当时，我遵循着垂直瘢痕长度不应超过5.5厘米的教条。几个月后再次查看我的患者时，我惊讶地发现水平瘢痕向上移动了。这使我去证实乳晕下缘与乳房下皱襞之间的距离会随乳房大小而变化。于是我确信可以用垂直瘢痕完成每一例乳房成形术。因此我再次修改手术方法，以使几乎所有患者的垂直瘢痕都位于乳房下皱襞上方。在1964年至1994年接受手术的710例患者（1350个乳房）的个人系列病例中，439个乳房进行了乳房上提术，911个乳房进行了乳房缩小术。并发症很少。这段长期的垂直乳房成形术经验表明，这是一种安全的手术方法，能产生持久的效果。
