ElevéL: Superior Pedicle Reduction Mammoplasty With L-shaped Scar.

[BACKGROUND] An L-shaped scar in reduction mammoplasty is a scar pattern that has been gaining popularity among plastic surgeons because of the lower number of complications and improved aesthetic results. The main objective of this article was to describe a new technique of upper pedicle reduction mammoplasty with large tissue resections, always using an L-scar pattern.

[METHODS] The ElevéL technique was performed in 270 patients who underwent surgery between 2023 and 2025; follow-up examination was carried out for an average of 1 year. A patient satisfaction survey was conducted (BREAST-Q).

[RESULTS] Two (0.8%) patients presented partial necrosis of the nipple-areola complex, 0 patients had surgical infections, 3 patients had wound dehiscence, no patients presented hematoma, and 13 (4.8%) had widening of the areola. Alterations in the sensibility of the nipple-areola complex occurred in 23 patients who had partially recovered sensibility (subjectively reported by the patients).

[CONCLUSIONS] Compared with other reduction mammoplasty techniques, the ElevéL technique has shown lower complication rates, coupled with less scarring, making it a good technique for all plastic surgeons to routinely perform.