Technical Systematization in Mammoplasty

Abstract

Surgical marking is an important step before mammoplasty, which require adequate surgical planning. My preference is to perform pre-marking with the patient awake and in a sitting or standing position. The key for proper artistic marking is determine Pitanguy’s point A. Afterward, points B and C are marked on the lateral and medial parts of the breasts. The operation may be performed under general anesthesia, epidural anesthesia, and local anesthesia combined with intravenous sedation under the care of an anesthesiologist. Glandular resection is performed following Pitanguy’s technique as a “keel” resection is carried out and two columns are created, which are sutured. There is no cutaneous undermining or even “dead space”. There is a minimal rate of complications and a very high level of good results. When young girls present with hypertrophic breast, they may have several secondary signs and symptoms. Patients may complain of back pain, heavy breasts, alteration of the posture, pre-menstrual pain causing physical discomfort and severe psychological disturbances. After pregnancy, the breasts may experience severe changes, leaving unaesthetic alterations that may bother the woman.

Reduction mastoplasty may be performed at any age, if they have sufficient reason to complain about their breasts. The operation is performed using Pitanguy’s technique with personal changes to improve surgical results.