WORLD JOURNAL OF PLASTIC SURGERY

BACKGROUND Many young women are satisfied with their large breasts but suffer from sagging due to heaviness. In this article we present a novel modification of vertical scar breast reduction based on a special indication. METHODS From January 2006 to May 2012, twenty five individual patients underwent operation using modified technique with superior pedicle and vertical scar. Young women between ages 25-35 years with voluminous breasts who requested mastopexy rather than reduction were selected for the surgery. RESULTS The mean patient age was 30 years and body mass index (BMI) was 27.8±1.07 kg/m2. Mean nipple transposition was 6.5 cm. Mean weight for resected tissue was 415 g for left and 419 g for right breast. Mean operative time was 125 minutes. Patients were followed up for 9-22 months. No serious complications encountered in consecutive patient series. The only complication was permanent wrinkling probably due to vertical closure in 5 of 25 patients which did not resolve during the follow-up period. CONCLUSION We recommend that the Snowman design is a useful tool for superior pedicle breast reduction technique providing good projection and a short scar in selected patients.