During a period of 3 years, vertical reduction mammaplasty and mastopexy using a medial based dermoglandular pedicle were performed in 265 mammary glands in 145 patients. This procedure is a original technique by Hall-Findley that takes advantage of its benefits but adds a peirstring suture to prevent inframammary scar. All patients were operated in a teaching hospital with a resident as cosurgeon, and breast were operated simultaneously. Patients were followed for an average of 16 months. The weight of the beast tissue excised was also evaluated. The quantity of excised tissue ranged from 1280g. to 320g. ( in cases of reduction mammaplasty) and 40g. up to 150g.( in cases of mastopexy). The nipple-areola complex migrated 4 to 12 cm (median 7 cm ).Technique has a short operative time ( less than 2 hours), implying minimal blood loss and speedy recovery. A median time of operation was 130 min. (for bilateral reduction mammaplasty operations).

The complications evaluated, included wound dehiscence more than 1 cm, skin necrosis, hematoma, partial or complete necrosis of the nipple-areola complex, seroma and infection during a follow up of 4 weeks.

The most sever complication was partial necrosis of the nipple-areola complex, which occurred in one case and one case of hematoma. There were no cases of infection. We purpose to performed this type of operations without drains.

Other important point concerns the Inframammary fold-to-nipple distance. Lassus clearly pointed out that many attractive normal breasts demonstrate an IMF-to-nipple distance ranges from 4.5 to 10 cm. In our patients we found this distance 5 to 9 cm.

The vertical scar mammaplasty by Hall-Findley design is reliable, and complications are rare. Because there is no cutaneous undermining, complications such as wound healing problems are avoided. Nipple-areola necrosis has never been encounted. The postoperative sensitivity of the nipple-areola complex is usually unchanged. Because the lactiferous ducts located beneath the nipple-areola complex are not interrupted, the potential for lactation is preserved. The long-term satisfaction of the patients was high. This is an easily designed and accomplishable technique that is applicable to patients with moderate hypertrophy (up to 800 g. in our experience).