Background:

Breast reduction techniques have been considered functional procedures proposed to reduce the volume and elevate the position of the nipple-areola complex. Traditionally these techniques were performed as mostly functional procedures. The main reasons for dissatisfaction after a reduction technique are breasts with a deflated appearance due to alteration of the shape, particularly of the upper pole, and simultaneously, the high frequency in the appearance of pseudoptosis in the medium and long term. All this contributes to the patients’ desire for secondary surgeries or refinements.

Objective:

We know that currently the demands and expectations of our patients are increasing, and they specifically request a better aesthetic outcome.

Method:

We present our experience and surgical approach to breast reduction, using a superior base flap in combination with implants.

Results:

We believe that the results are more stable in the long term and with low complication rates.

Conclusions:

According to what has been reported in the literature, our casuistry represents the most extensive to date.