A modified Chiari L short-scar mammoplasty--the technique and results.

A modification of Chiari Junior's L-shaped mammoplasty has been used to produce reliable and pleasing results. Easier marking with use of a template and changes in the parenchymal dissection have been developed from the original description in 1992. A review of 90 consecutive cases was performed. Patient satisfaction was excellent (average score 9.23/10). Surgical outcome was assessed by surgeons not using the technique, the series achieving an above-average outcome, with ratings even higher for reductions under 800 g. Nipple sensation was normal post-surgery in 79%, present but abnormal in 17% and absent in 4%. Complications occurred in 18%, although the majority were minor, not requiring surgery.