Mammaplasty: The dermal brassière technique.

CONCLUSIONS: With most methods, it is possible to obtain a good breast shape as an immediate postoperative result. The question is whether the satisfactory shape is permanent.The 7-year evaluation of the method described here has confirmed the safety of the procedure as well as the satisfactory conic breast shape it achieves. The result has proven to be lasting. Drooping of the gland is prevented by means of the dermopexy with firm fixation of the infraareolar dermal pillar to the pectoral muscle.The method is indicated even for large hypertrophies as well as in cases of ptotic breasts of normal size and when combined with augmentation by silicone prostheses for ptotic hypoplastic breasts. Careful preoperative planning allows control of scar size with satisfactory quality since the scar is not exposed to undue tension.If the technique described is carefully followed, only minor complications such as occasional extrusion of a subcutaneous dermal stitch or, seldom, cyst formation (as in all dermopexy methods) may occur.