Deaugmentation reduction mammaplasty.

[BACKGROUND] Although current trends in breast reduction emphasize scar reduction and improved long-term results, all currently used techniques leave visible scars on the breast.

[OBJECTIVE] In this report a technique is described that provides a moderate reduction in breast volume (1 cup size) through a short inframammary incision alone. This method avoids visible scars on the anterior breast.

[METHODS] Excision of a posterior disk of breast tissue, similar to removal of an implant, was performed to reduce a large breast with no significant ptosis and generally good aesthetics that resembles an overaugmented breast. A series of 5 patients underwent excision of posterior breast tissue through a 7-cm inframammary crease incision. Medial and subareolar volume was preserved in an attempt to maintain optimal shape.

[RESULTS] In all patients, adequate reduction in breast volume was achieved without exacerbation of ptosis. No complications ensued, and all patients were satisfied with postoperative breast size and shape.

[CONCLUSIONS] The deaugmentation reduction technique is a simple approach to small to moderate breast reduction through a limited inframammary scar. It is associated with high patient satisfaction and is ideal for a select group of patients.