The vertical scar reduction mammaplasty : a review of 50 cases using hall findlay’s technique

Abstract EN

Objectives : To present our experience in treating mammary hypertrophy using the vertical scar reduction mammaplasty with a superomedial pedicle (the Hall Findlay’s Technique).

Methods : A total of 120 patients were treated at the Royal Rehabilitation Center for mammary hypertrophy during the period between January 2004 and November 2010, 50 (41.7%) of these patients were treated using the vertical scar reduction technique.

There medical records were reviewed regarding age, risk factors, reduction size, patient’s satisfaction and complications.

All patients were followed for a mean period of 3 years.

Result : The mean age of the patients was 37 years, six patients were smokers, two patients had a controlled hypertension, and none had diabetes mellitus.

The mean amount of tissue removed per breast was 650 g for the right breast and 710 g for the left breast (with a range of 250 g to 2400 g) from each side, the procedure resulted in abatement of preoperative symptoms with a good overall patient satisfaction.

Three patients (6%) had wound dehiscence, 5 patients (10%) had partial areolar sloughing, with no loss to the nipple areolar complex either partially or completely.

Three patients (6 %) had minor asymmetry.

Conclusion : This technique for vertical scar reduction mammaplasty has been applied to breast reductions of all sizes and has consistently produced a good breast shape and projection, leaving less scarring than standard breast reductions.

The technique needs good preoperative planning but it is a straightforward procedure and easy to learn, it offers a safe, effective, and predictable way for treating mammary hypertrophy.