Reduction mammoplasty: General approach and basic considerations

Reduction mammoplasties must take into consideration volume, mammary base, and forward projection in establishing criteria for a standard breast. Any reduction procedure involves the mammary gland or mass, the skin, and the nipple-areola complex.Since 1969, we have used a dermal vault technique on over 1,200 patients with satisfactory results. It produces a short, well-situated scar, a pleasing form, ideal residual mammary volume, and good stability.