The L short-scar mammaplasty: a new approach.

An improved L mammaplasty technique was employed in 178 patients aged 13 to 55 years, with reductions of up to 1280 gm per breast, with small, well-positioned, and undistorted scars. I have obtained a satisfactory final shape of the breast with no major complications over a 3-year follow-up period. The markings are based on chest width and on the quantity of skin that will remain. The technique allows the surgeon to remove more skin, and it is indicated for minor, moderate, and large hypertrophies, as well as for ptotic and asymmetrical breasts. The resection comprises skin and mammary tissue from the inferior and middle portions of the breast, preserving the main lactiferous ducts. In case of hypertrophic breasts, the base is removed, preserving the branches of the lateral cutaneous nerves, which derive from the third, fourth, and fifth intercostal nerves.