Figure 4. Pre- (A) and postoperative (B) images of ACAC, an 18-year-old patient with a body mass index of 33. The patient presented with breasts of mixed consistency, grade IV hypertrophy, marked lateralization of the nipple-areola complex (NAC), and no tumors or comorbidities. Postoperative evaluation revealed a small wound outside the vertex without dehiscence that evolved with good healing. NAC medialization and resection of 1,290 g of cutaneous-fat glandular tissue was performed. The patient reported good procedural satisfaction.
Figure 5. Pre - (A) and postoperative (B) images of MESN, a 17-year-old patient with low self-esteem due to grade IV breast hypertrophy despite a body mass index of 27. She presented with breast glandular consistency but no major asymmetry or tumors. The technique of Ariê was used and resulted in perfect healing. The patient reported great procedural satisfaction but a slightly decreased nipple-areola complex sensitivity.
Figure 6. Pre - (A) and postoperative (B) images of DAMS, a 19-year-old patient with grade IV hypertrophy, slight asymmetry, no tumors or comorbidities, and a body mass index of 25. A total of 1,500 g of breast content was resected and the postoperative course was good. However, the patient reported unilateral nipple-areola insensitivity of the right breast and she still had large breasts. The patient's great procedural satisfaction is reflected in the remarkably beautiful healing.
Figure 7. Pre - (A) and postoperative (B) images of OAS, a 59-year-old patient with visible breast asymmetry and grade IV hypertrophy but no diagnosis of tumors. The patient was treated for hypertension and had a body mass index of 24. She underwent the technique of Pitanguy with rounded curves as described by Castro. Good results and symmetrical nipple-areola complex sensitivity were expected with this technique. The patient reported great procedural satisfaction with perfect healing despite reduced mammary asymmetry and the presence of a small wound outside the vertices of the wound observed during the first few postoperative days.
Figure 8. Pre- (A) and postoperative (B) images of ILB, a 65-year-old patient with giant breasts in base and height who was treated for arterial hypertension and presented with shoulder lesions, a body mass index of 30, and a fatty breast consistency. Reductive mammoplasty was performed according to the technique of Pitanguy. The patient reported great procedural satisfaction despite maintenance of the large breast size as well as symmetrical preservation of the nipple-areola complex sensitivity.
Figure 9. Pre- (A) and postoperative (B) images of SBS, a 26-year-old patient with sagging skin, fatty breast consistency, noticeable asymmetry, no tumors, and a body mass index of 22. The patient underwent breast reduction according to the technique of Ariê with the type I pedicle of Ribeiro and recovered well despite a wound on the vertex that developed dehiscence and an infection that was treated with antibiotics and resolved satisfactorily and did not influence the patient's reported good procedural satisfaction.
Figure 10. Pre- (A) and postoperative (B) images of GF, a 24-year-old patient with normal skin without stretch marks, low self-esteem, asymmetry, and glandular breast consistency. The patient underwent breast reduction using to the technique of Ariê with an inferior pedicle that resulted in good symmetry, great personal satisfaction, and perfect healing without postoperative complications.
Figure 11. Pre- (A) and postoperative (B) images of AHO, a 33-year-old Patient with grade IV hypertrophic and asymmetrical breasts, a body mass index of 31, and no breast tumors or comorbidities. The patient reported the best score of personal satisfaction for reductive mammoplasty, the results of which were not expected, despite the maintenance of asymmetry and decreased nipple-areola complex sensitivity. The healing occurred perfectly and there were no postoperative complications.
Figure 12. Pre- (A) and postoperative (B) images of OSC, a 34-year-old patient with no comorbidities who presented with grade IV hypertrophic breasts and a body mass index of 31. She reported great procedural satisfaction despite decreased nipple-areola complex sensitivity and slight asymmetry.
Figure 13. Pre- (A) and postoperative (B) images of PSB, a 42-year-old patient with grade IV hypertrophy, breast tissue of mixed consistency, and a body mass index of 29. Excellent postoperative symmetry was noted; however, the patient reported average procedural satisfaction due to the maintenance of large breast size.
Figure 14. Pre- (A) and postoperative (B) images of CAVO, a 48-year-old patient complaining of breast asymmetry with fatty breast consistency, grade IV hypertrophy, and no comorbidities or tumors. After the resection of 600 g of breast tissue, the patient presented with good healing and symmetry and reported great procedural satisfaction.