BACKGROUND: The functional preservation of the breasts should always be a concern for the plastic surgeon. The technique presented in this paper aims to reduce the impact of mammoplasty on breastfeeding by considering the superior vascular pedicle technique with parsimonious gland resection to be the best choice for cases with little breast hypertrophy.
METHODS: We report on 46 patients with mild to moderate breast hypertrophy who underwent mastopexy, with or without breast reduction, using the superior vascular pedicle technique as per the modified technique described by Longacre. Small gland resections were made so as to preserve the functional and sensory integrity of breasts.
RESULTS: In the 92 breasts on which we operated, we observed a proper filling of the upper pole through use of a flap, and breast shaping that satisfied the patients' desires.
CONCLUSIONS: The technique presented, in which the lower pole of the breast is used to fill the upper pole, is another technical possibility for mastopexies in patients with a high-positioned nipple-areolar complex.
Keywords: Mammaplasty. Breast/surgery. Breast feeding.