vertical scar reduction mammaplasty: a review of 50 cases using Hall Findlay's Technique

ABSTRACT

To present our experience in treating mammary hypertrophy using the vertical scar reduction mammaplasty with a superomedial pedicle [the Hall Findlay's Technique]. 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. 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 650g for the right breast and 710g for the left breast [with a range of 250g to 2400g] 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. 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