Abstract
The author performed a fault-finding study of mammoplasty scars after mammoplasties carried out to treat breast hypertrophy and ptosis and presents his own technique for mammoplasty based on those of Pitanguy and Hollander and his followers. He analyzed their location and shape, in addition to the advantages and disadvantages. He proposes a technique, which, besides achieving a good breast shape, reduces the length of the scars. The vertical segment is 4–5 cm and does not go beyond the submammarian sulcus. The submammarian segment is of variable length according to the degree of hypertrophy or ptosis, never surpassing the projection of the anterior axillary line. The submammarian scar is camouflaged in the sulcus. A small scar is left, in the shape of a comma, a J, or an inverted L. The shape is natural and aesthetically pleasing.
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Acknowledgements
“The path of the righteous is like the light of dawn, which shines brighter and brighter until full day.” (“Proverbs”, 4:18).
Thus was Aleixo Sepúlveda, plastic surgeon, scientist and teacher, whose work expanded the horizons of Brazilian Plastic Surgery.
Those who, like me, have had the privilege of working alongside him, witnessing his knowledge and talent, received the special exemplary behavior of geniality, wisdom, humility, and generosity.
Dear Prof. Aleixo: wherever you are, receive our love, admiration, and our eternal gratitude.
Special thanks to his family, on behalf of his daughter, Candida Duarte Sepúlveda, who offered us unlimited access to the essential material for creation of this chapter.
Thanks to Dr. João Portocarrero Costa Sobrinho, who kindly provided the pre- and postoperative illustrative pictures.
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Santiago, M. (2018). Sepúlveda’s Technique for Reduction Mastoplasty. In: Avelar, J. (eds) Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-54115-0_16
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DOI: https://doi.org/10.1007/978-3-319-54115-0_16
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