Background and objective.

For being one of the procedures mostly performed in our environment, breast plastic surgery involves many technical variations and surgical strategies that provide the plastic surgeon with several options.

The objective of this study was to evaluate the use of thin superior flap technique in breast reduction and pexy after 6 years of experience.

Methods.

Over a period of 6 years, we selected 90 patients presenting with mammary hypertrophy and/or breast ptosis. A technique based on the inverted-T marking and Ribeiro's type IV inferiorly based flap was carried out. The intervention involved the production of a thin superior flap with a thickness of approximately 2 cm. This comprised 30% of the breast volume, while the inferior flap was responsible for the remaining 70%.

Results.

Three expert plastic surgeons evaluated the patients. The results showed that 93.5% of the women who underwent this procedure presented with excellent quality outcomes, while 4.6% had a good outcome. Further, a fair outcome was observed only in 1.9% of the patients, while poor outcomes were not obtained. The procedure had a complication rate of 4.2%, which included 3 cases of infection, 4 of asymmetry, and 12 of unsightly scars.

Conclusions.

In our experience the thin superior flap proved to be very effective in breast reduction and pexy.

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