Lateral based dermal flap in breast contouring in reduction mammaplasty

Background and introduction: Reduction mammaplasty surgery constitutes one of the plastic surgery procedures with the greatest impact on patients' quality of life. It is necessary to ensure an appropriate mammary contouring. Over time, various techniques have been proposed to overcome these problems, based mainly on the use of dermal, dermo fascial, or myoglandular flaps. In this case report we describe the use of a laterally vascularized dermal flap to provide better breast contouring. Case presentation: A 34-year-old female patient underwent reduction mammaplasty surgery using a dermal flap to reshape her breast profile. The flap was set up with a lateral base, degreased and anchored with a dermal loop to the pectoralis muscle to ensure adequate breast contouring. Clinical discussion: An optimal aesthetic result was obtained with contour shaping of the medial quadrants and a reduction in bulging of the lateral quadrants, with increased satisfaction of the patient's breast aesthetics. Conclusion: The use of dermal flaps for breast contouring in reduction mammaplasty is described in various modalities in the literature. The use of a laterally based dermis allows the bulging of the lateral quadrants to be reduced and the contouring of the medial quadrants to be redefined with a quick and easy technique that also allows for a more stable result and greater patient satisfaction.