ABSTRACT
INTRODUCTION Breast reductional surgery continues to evolve and is being refined constantly to attain the desired breast shape with the least amount of visible scarring. Eliminating or lessening postoperative scar formation is an ideal shared by all plastic surgeons, and several techniques have been described to achieve this goal. However, minimizing the extent of scarring is more perhaps of an issue for moderate degrees of breast hypertrophy. There has been a tendency to develop surgical procedures that eliminate the horizontal but retain the vertical scar despite the latter being more prominent in the standing position. The following section describes the authors’ preferred technique for managing severe breast hypertrophy using a reduction mammoplasty technique that avoids a vertical scar.
