RESUMEN
Many techniques have been described for reduction mammaplasty and mastopexy.The techniques for reduction mammaplasty and mastopexy combine the resection of skin and breast tissue. The assessment of excess skin and quantity of tissue to be removed is a key element in mammaplasties. The format of the skin differs from patient to patient, depending on the quality of the skin and its relation with the glandular tissue. The principles described in this paper have been used in more than 4,000 patients. Long-term course has shown satisfactory results. Scars are a problem that seems to concern surgeons more than patients themselves. It is concluded that patients who undergo mammaplasty are aware that there will be a scar after the surgery. However, how the scar looks is more important than how long it is.